| NPI | 1023026580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MCCULLOUGH CFO 414-465-3736 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 3225) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2024-12-30 |