| NPI | 1871767822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN R JONES Cota 608-242-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 1905-027) |
| Enumeration Date | 2008-04-21 |
| Last Update Date | 2008-04-21 |