| NPI | 1700933090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE SCHUBART Manager 920-225-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 449-026) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |