| NPI | 1649203050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B OLSON Administrator 608-647-8931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 1139) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |