| NPI | 1396735171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE HANSEN Accounting Manager 715-231-4586 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2356) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2022-10-27 |