| NPI | 1871677963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED RICHARD BOVA Chief Financial Officer 262-898-2701 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 3179) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2012-02-16 |