| NPI | 1982570677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMED DAHIR WARSAME Owner 608-422-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2025-10-11 |
| Last Update Date | 2025-10-11 |