| NPI | 1477762797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA JENTGES Occupational Therapist 920-453-7049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 1801968847) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2008-07-18 |