| NPI | 1972571628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ENLUND President & CEO 414-607-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WI 2300) |
| Additional Taxonomies | 281P00000X Chronic Disease Hospital (Licence: WI 2300) |
| 314000000X Skilled Nursing Facility (Licence: WI 2300) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2009-04-08 |