| NPI | 1174905087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA MAY OLSON Clinical Specialist 715-523-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 1994-026) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |