| NPI | 1053585323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA GERLACH Physical Therapist 715-675-1138 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 4992-024) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2008-04-17 |