| NPI | 1285633743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN CAVERS CEO/President 414-258-6171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 293) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2021-08-18 |