| NPI | 1578559456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN DESOTELL Administrator 920-432-5231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 1134) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-08-22 |