| NPI | 1316329048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE RENEE PLATA Lpn 608-395-9764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 318814) |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2015-06-18 |