NPI | 1992911796 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE ANKER Cota 920-842-2191 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: WI 1530-027) |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |