| NPI | 1124081229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A. KERN CFO/Treasurer 920-232-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2005) |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2010-07-28 |