NPI | 1326310525 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE MARIE DROSTER Lpn 920-397-0106 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WI 312554-031) |
Enumeration Date | 2012-02-02 |
Last Update Date | 2012-02-02 |