| NPI | 1649464645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | URWONDA S JONES Nurse 414-933-7207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 136055-030) |
| Enumeration Date | 2007-09-02 |
| Last Update Date | 2007-09-02 |