| NPI | 1134123573 |
|---|---|
| Former Legal Business Name | CHAFFEY NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE J KUTZ President 715-561-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 3215) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2021-09-20 |