| NPI | 1699762625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON SCHULTZ President 715-762-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2452) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2019-07-28 |