| NPI | 1447223524 |
|---|---|
| Doing Business As | WISCONSIN LUTHERAN CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID TANCK Administrator 414-353-5005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2179) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2020-08-22 |