| NPI | 1780875542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE SUCHOMEIL PT 608-271-7321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2704-194) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-08-07 |