| NPI | 1790929487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE JUELL LEHRMANN Occupational Therapist 262-523-0933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2864-026) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |