| NPI | 1780672907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KENNETH WEST Nursing Home Administrator 715-924-4891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 1038) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2011-12-27 |