| NPI | 1497812697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE SCHMITZ Administrator 715-229-2172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2387) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225100000X Physical Therapist | |
| 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: WI 3014) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2011-09-28 |