| NPI | 1598146854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY MEINEKE Physical Therapist 414-258-6170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 12453-24) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |