| NPI | 1801030051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME MARIE TROEDEL PT A 262-253-0933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 758-19) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |