| NPI | 1124483714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ETRINGER Business Office Manager 414-615-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 4173-154) |
| Enumeration Date | 2015-12-23 |
| Last Update Date | 2015-12-23 |