| NPI | 1174725238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY B BRYLSKI Certified Occupational Therapy Assi 715-823-7194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 211-027) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2008-08-13 |