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 |