| NPI | 1023030723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIANE G DORN Administrator 414-389-3251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 3147) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2013-08-21 |