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 |