| NPI | 1538242698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE SHELDON HURWITZ Owner 414-273-7784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 18385) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-07-21 |