NPI | 1518178581 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBBIE KAY DLUGOPOLSKI Occupational Therapist 262-376-7676 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WI 2103-026) |
Enumeration Date | 2007-05-24 |
Last Update Date | 2020-08-22 |