| NPI | 1417305640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN ANNE VANDE HEI Physical Therapist 608-769-7332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 12712) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2016-05-27 |