| NPI | 1780080473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA S PREDICK Owner/Executive Director 262-279-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WI 310321) |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness (Licence: WI 310321) |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances (Licence: WI 310321) | |
| 311500000X Alzheimer Center (Dementia Center) (Licence: WI 310321) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WI 310321) | |
| 315D00000X Hospice, Inpatient (Licence: WI 310321) | |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |