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Organization
RIVER VALLEY NURSING HOME, INC
Active
Organization
RIVER VALLEY NURSING HOME, INC
Active
Other names
Greenway Manor & Greenway Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GORMAN (FACILITY ADMINISTRATOR)
(608) 588-0513
Entity
Organization
Contact information
Practice address
501 S WINSTED ST, SPRING GREEN, WI 53588-9435
(608) 588-2586
(608) 588-7410
Mailing address
PO BOX 759, SPRING GREEN, WI 53588-0759
(608) 588-2586
(608) 588-7410
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
1928
WI
314000000X
Skilled Nursing Facility
Primary
2470
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20144800
—
WI
Enumeration date
08/02/2005
Last updated
08/11/2023
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