| NPI | 1962731331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE D HUFF Physical Therapy Assistant 414-447-1568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 1097019) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |