| NPI | 1477551141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAH VOELTZ Administrator 715-684-3231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2285) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2025-09-19 |