Organization
KINNIC LONG TERM CARE FACILITY LLC
Active
Other names
Kinnic Long Term Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS L HEYDE (PRESIDENT)
(715) 726-9094
Entity
Organization
Contact information
Practice address
1663 E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 426-6000
(715) 426-6007
Mailing address
345 FRENETTE DR, CHIPPEWA FALLS, WI 54729-3372
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3095
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20192800
—
WI
Enumeration date
09/19/2005
Last updated
08/22/2020
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