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Organization
GENESIS HEALTHCARE
Active
Organization
GENESIS HEALTHCARE
Active
Other names
Pine View Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH MARIE GILBERTSON COTA (CERTIFIED OCCUPATIONAL THERAPY ASST)
(507) 313-8008
Entity
Organization
Contact information
Practice address
3025 33RD ST S APT 3, LA CROSSE, WI 54601-7777
(507) 313-8008
Mailing address
3025 33RD ST S APT 3, LA CROSSE, WI 54601-7777
(507) 313-8008
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
500927
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500927
—
WI
Enumeration date
09/05/2013
Last updated
09/05/2013
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