| NPI | 1881865012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA SALAWAY R.N. 608-845-2243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: WI 99659030) |
| Enumeration Date | 2008-03-16 |
| Last Update Date | 2008-03-16 |