| NPI | 1255405700 |
|---|---|
| Doing Business As | SHADY LAWN NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | DONNA JO MAASSEN Director Of Compliance 414-908-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2008-04-01 |