| NPI | 1649615386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PAUL FRENETTE Physical Therapist Assistant 715-559-1718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 1981-19) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2013-05-08 |