RIVER VALLEY NURSING HOME INC
Assisted Living Facility
Spring Green, Wisconsin
Provider NPI: 1972504835
Organization Information:Organization Name: RIVER VALLEY NURSING HOME INC
Practice Location:
501 S WINSTED ST SPRING GREEN, WI 53588 US
Tel: 608-588-2586 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
501 S WINSTED ST SPRING GREEN, WI 53588 US
Tel: 608-588-2586 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
X | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | WI | 1928 |
X | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | WI | 2470 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
20144800 | WI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin