| NPI | 1316098478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M SHAW Administrator 715-532-5561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2349) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2010-09-20 |