| NPI | 1902016090 |
|---|---|
| Doing Business As | MARY JUDE NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | MICHAEL FRISBY Administrator 414-543-5330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2962) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |