| NPI | 1669801940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY-BETH MARCOTTE FRIDAY Owner 920-737-2152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SL0600X Clinical Nurse Specialist, Long-Term Care |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2025-02-24 |