NPI | 1215934963 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLY K SONTAG CEO 715-942-1400 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 963) |
Additional Taxonomies | 310400000X Assisted Living Facility (Licence: WI 1874) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2023-03-16 |