| NPI | 1659942316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY KAFURA Administrator 715-801-0388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 315D00000X Hospice, Inpatient |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-07-05 |
| Last Update Date | 2021-07-05 |