| NPI | 1821460866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN BALLWEG Physical Therapist Assistant 608-235-8364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2381) |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2015-10-29 |