| NPI | 1871741918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKIE CHRISTIE Administrator 414-810-3904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-05 |