| NPI | 1952478653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA F.C. MUNOZ Assistant Secretary 414-918-5443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 120138) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2025-02-25 |