| NPI | 1063678928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANLEY HAMILTON Occupational Therapist 608-217-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 4623-026) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2008-07-31 |