| NPI | 1174510010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ANN STUDNICKA Director Of Pharmacy 608-230-4404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 0081) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2025-07-29 |