| NPI | 1720450125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASANDRA P MORRIS Registered Nurse 414-937-0412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: WI 22107330) |
| Enumeration Date | 2015-10-24 |
| Last Update Date | 2015-10-24 |