| NPI | 1033500731 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI SUND Finance Director 608-366-6256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WI 92-19) |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |