| NPI | 1821812587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY JAITEH Owner/Administration Manager 414-698-4649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |