NPI | 1356631741 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN H. LARSON Administrator/Chief Executive Offic 715-778-5545 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 0995) |
Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: WI 12231-800) |
310400000X Assisted Living Facility (Licence: WI 0013449) | |
Enumeration Date | 2011-04-19 |
Last Update Date | 2019-09-18 |