| NPI | 1205113982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE L BORCHARDT Occupational Therapist 715-573-2884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 5060-026) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2011-11-09 |