Organization
MIDWEST PHYSICAL THERAPY
Active
Parent organization
SPRING VALLEY HEALTH CARE SERVICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPRING VALLEY HEALTH CARE SERVICES, INC.
Authorized official
MR. KEVIN H. LARSON CNHA (ADMINISTRATOR/CHIEF EXECUTIVE OFFIC)
(715) 778-5545
Entity
Organization
Contact information
Practice address
S830 WESTLAND DR, SUITE 103, SPRING VALLEY, WI 54767-8238
(715) 778-5545
(715) 778-5575
Mailing address
S830 WESTLAND DR, SPRING VALLEY, WI 54767-8238
(715) 778-5545
(715) 778-5575
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
12231-800
WI
310400000X
Assisted Living Facility
0013449
WI
314000000X
Skilled Nursing Facility
Primary
0995
WI
Other
Enumeration date
04/19/2011
Last updated
09/18/2019
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