| NPI | 1780756890 |
|---|---|
| Doing Business As | WOODSIDE LUTHERAN HOME |
| Entity Type | Organization |
| Authorized Contact | POLLY GRETZINGER Executive Director, Campus Operatio 920-405-3213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2177) |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2023-10-13 |