NPI | 1760470819 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWIN M. KRUCHTEN Owner 608-849-5016 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2450) |
Enumeration Date | 2005-10-12 |
Last Update Date | 2007-07-10 |