| NPI | 1629302872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY M ZIMDAHL Registered Nurse 920-602-6063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: WI 167706030) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2009-09-21 |