NPI | 1639167430 |
---|---|
Doing Business As | BREWSTER VILLAGE |
Entity Type | Organization |
Authorized Contact | DAVID A ROTHMANN Administrator 920-832-5400 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2371) |
Enumeration Date | 2005-10-06 |
Last Update Date | 2010-05-11 |