| NPI | 1912340746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI FREISINGER Area Director 414-531-5226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 4264-26) |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2016-02-04 |