| NPI | 1942474382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA THURS Speech Language Pathologist 715-842-1694 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2497-154) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |