| NPI | 1194937490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KAYE LOOMANS PT A 920-923-7054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 838-019) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-08-22 |