| NPI | 1497141998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE NETHING Business Office Mangaer 920-898-5706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 5647) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |