| NPI | 1053312348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BONELLO Executive Director 608-269-3168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 440) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-08-22 |