| NPI | 1740543545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE M SCHAAP Program Director 414-380-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 4450-26) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2012-06-18 |