| NPI | 1386973287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE JENSEN Business Office Manager 715-552-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 4792-026) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2009-12-24 |