| NPI | 1740093913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN BALL Owner/Administrator 262-806-7252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 261QA0600X Clinic/Center Adult Day Care |
| 311ZA0620X Custodial Care Facility Adult Care Home | |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-08-14 |