NPI | 1972958387 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE SUE KLITZKIE Executive Director 920-563-8554 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WI 2090831) |
Enumeration Date | 2016-05-04 |
Last Update Date | 2016-05-04 |