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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