| NPI | 1720389455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH SIMONICH Vice President 715-561-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI PENDING) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2010-11-11 |