| NPI | 1851582597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER A MAY Facility Manager 920-746-1280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WI 10344) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |