| NPI | 1952051211 |
|---|---|
| Former Legal Business Name | KATHY JONES |
| Entity Type | Organization |
| Authorized Contact | KATHY JONES Owner 414-350-3558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-03-28 |
| Last Update Date | 2022-03-28 |