| NPI | 1760650287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA JEAN-PIERRE Rehad Director 920-225-7785 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 538-019) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |