| NPI | 1659358323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RADMER Administrator 920-929-3309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2437) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2019-07-16 |