| NPI | 1710267489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMINIA ANTIPATIA ESTRERA Bsn RN 608-609-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WI 143854030) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |