| NPI | 1932905171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY S VORTIS Owner 414-215-5143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |