| NPI | 1104242692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNELISE PFEIFFER Ot Assistant 608-472-2613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: MA 3764) |
| Enumeration Date | 2014-03-09 |
| Last Update Date | 2014-03-09 |