| NPI | 1346580792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE REYNOLDS Human Resources 800-815-8577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 301118) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2013-02-21 |