| NPI | 1972777324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE THEISS Physical Therapist Assistant 715-570-2288 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 1127-019) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |