NPI | 1063925634 |
---|---|
Doing Business As | AVINA OF SUN PRAIRIE |
Entity Type | Organization |
Authorized Contact | DAVID MERZEL CFO 847-983-4860 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2017-11-06 |
Last Update Date | 2025-08-19 |