| NPI | 1942488044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES T NELSON President COO 262-781-0550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2471) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |