| NPI | 1689151599 |
|---|---|
| Other Name | SWING BED UNIT |
| Entity Type | Organization |
| Authorized Contact | KEVIN JOHN MCGURK Controller 920-445-7260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: WI 52Z256) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2022-04-06 |