| NPI | 1578516118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH J GARWO Lpn 608-467-8367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WI 303910-031) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2020-08-22 |