| NPI | 1538353982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY LEI SELLIER RN 920-727-0441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2022-07-21 |