| NPI | 1215906706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH C. MANN RN 920-623-3449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WI 78528-030) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2008-07-08 |