| NPI | 1558132886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER A FUHR Family Physician 414-840-6610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-01-15 |