| NPI | 1760657779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LOUISE NIQUETTE Physical Therapist Assistant 920-682-0314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |