| NPI | 1053428052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA J. MAASSEN Privacy Officer 414-908-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MI 694020) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2008-03-05 |