| NPI | 1598027476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ADAM FRAAZA Physical Therapist Assistant 414-281-7200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 1758-019) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |