| NPI | 1366710949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN STUCZYNSKI Occupational Therapy Assistant 715-572-3586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 1130-27) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |