| NPI | 1598930307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FRONEK Speech Language Pathologist 715-359-3529 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 1275-154) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |