| NPI | 1972054138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CHERNEY CFO 262-306-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WI 0015048) |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-10-21 |