| NPI | 1043462021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DONALD SIMONSON Executive Manager 608-318-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: WI 12519) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |