| NPI | 1184943540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY A. CLAY Registered Nurse 414-207-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 15039930) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |