| NPI | 1831987585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA RODGERS Owner/Operator 414-813-4607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-04-30 |
| Last Update Date | 2025-04-30 |