| NPI | 1831197425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN KLEIST Administrator 920-458-2137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2662) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2015-11-23 |