| NPI | 1669741096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI L MAHLANDT BUTTS Physical Therapist Assistant 262-653-3814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 69019) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |