| NPI | 1437147980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE CHWALA CFO 920-206-4983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2056) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: WI 10362) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2023-06-15 |