| NPI | 1881690873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON THORSNESS President 715-723-4437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2627) |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2018-02-12 |