| NPI | 1902895592 |
|---|---|
| Doing Business As | FOUR WINDS MANOR AND LODGE, INC. |
| Entity Type | Organization |
| Authorized Contact | JUANITA ROSE RETRUM Office Manager 608-845-6465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 1002) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2020-08-22 |