| NPI | 1336145291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON CHRISTENSEN Administrator 920-842-2191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2698) |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2011-11-04 |