| NPI | 1518926211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M WETENKAMP Accounts Receivable 920-682-8254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2250) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-12-31 |