| NPI | 1295866325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE ELIZABETH ANDERSON Vice President 414-831-6880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2611) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |