| NPI | 1568686129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT R RAMMER Nha 920-994-4717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WI 0956) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |