| 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 |