| NPI | 1881401453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VILITHA D CLAY Administrator 608-284-1492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251B00000X Case Management | |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-02-22 |