Organization
PINEVIEW NURSING HOME
Active
Other names
PINEVIEW CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KYLE DENO NHA (COUNTY CLERK)
(715) 284-0268
Entity
Organization
Contact information
Practice address
400 COUNTY ROAD R, BLACK RIVER FALLS, WI 54615-5129
(715) 284-5396
(715) 284-1502
Mailing address
307 MAIN ST, BLACK RIVER FALLS, WI 54615-1744
(715) 284-0268
(715) 284-0278
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
2440
WI
314000000X
Skilled Nursing Facility
2440
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20157000
—
WI
Enumeration date
09/20/2005
Last updated
01/27/2009
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