| NPI | 1881375632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNY JONES CEO 414-467-5570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2023-07-25 |