| NPI | 1861661308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE KAY DLUGOPOLSKI Occupational Therapist Registered 262-376-7676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WY 2103-026) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2023-09-06 |