| NPI | 1669877528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA MARIE JANASZEK Lpn 262-812-9831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 305010-031) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2014-11-04 |