| NPI | 1265761076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MANTSCH Rehab Manager 262-657-6175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 4694-027) |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2009-12-08 |