| NPI | 1790616100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKESHA CATHEY Owner/Provider 414-307-2272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2026-05-26 |
| Last Update Date | 2026-05-26 |