Organization
HEYDE HEALTH SYSTEM PEPIN LLC
Active
Other names
Lakeview Residence
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN C METTEN (EXECUTIVE VICE PRESIDENT/COO)
(715) 726-9094
Entity
Organization
Contact information
Practice address
1112 SECOND ST., PEPIN, WI 54759-9658
(715) 442-4811
(715) 442-2904
Mailing address
345 FRENETTE DR, CHIPPEWA FALLS, WI 54729-3372
(715) 726-9094
(715) 723-1205
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
13844
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13844
WISCONSIN DEPARTMENT OF HEALTH SERVICES
WI
Enumeration date
04/12/2012
Last updated
04/12/2012
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