| NPI | 1235763053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA PLACHECKI Executive Director Long Term Care & 608-612-0640 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |