| NPI | 1902421308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY JOHN GUDWER President 920-230-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2020-06-11 |