| NPI | 1497920227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA KAY BRINSON-MCDUFFIE Physical Therapist Assistant 414-416-3479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 993-019) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |