| NPI | 1790474286 |
|---|---|
| Doing Business As | PRIDE AND JOY ADULT FAMILY GROUP HOME, LLC |
| Entity Type | Organization |
| Authorized Contact | KEYOSHA MOORE Owner 262-880-6019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2023-05-02 |
| Last Update Date | 2023-05-06 |