Organization
RIVER VIEW PLATINUM LLC
Active
Other names
River View
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TERESINSKI (MANAGING DIRECTOR)
(414) 940-6608
Entity
Organization
Contact information
Practice address
1301 E MAIN ST, WATERTOWN, WI 53094-4043
(920) 567-0100
(920) 567-0101
Mailing address
2448 S 102ND ST STE 305, WEST ALLIS, WI 53227-2141
(414) 940-6608
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013914
WISCONSIN DHS
WI
Enumeration date
04/22/2020
Last updated
04/22/2020
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