NPI | 1730068719 |
---|---|
Entity Type | Organization |
Authorized Contact | GENTELLA D WEARY Manager/Owner 414-469-9108 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility |
Additional Taxonomies | 251T00000X PACE Provider Organization |
3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
385H00000X Respite Care | |
Enumeration Date | 2025-09-02 |
Last Update Date | 2025-09-02 |