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 |