| NPI | 1699135814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIA D LOWE Administrator 414-704-1294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WI 0015871) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |