| NPI | 1205840873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEN MEYSEMBOURG Nursing Home Administrator 715-635-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WI 1164) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2008-10-20 |