| NPI | 1689931321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY GRATZ Program Director 262-653-2941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 1607-019) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2012-04-19 |