| NPI | 1639167430 |
|---|---|
| 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 |