| NPI | 1154280428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SWANNIE VANG Nurse Administrator/RN Supervisor 920-663-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WA2000X Registered Nurse, Administrator |
| Enumeration Date | 2026-01-21 |
| Last Update Date | 2026-01-21 |