| NPI | 1053308734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J KUTZ Owner 715-561-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MI 664020) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2007-08-07 |