| NPI | 1750549382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONEL DODZI AC-LUMOR Finance Manger 414-374-5212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WI 6685-800) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |