Organization
BELLA VISTA HEALTH AND REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH SIMONICH (VICE PRESIDENT)
(715) 561-3200
Entity
Organization
Contact information
Practice address
1900 NEW YORK AVE, SUPERIOR, WI 54880-2083
(715) 392-3300
Mailing address
300 VILLA DR, HURLEY, WI 54534-1523
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PENDING
WI
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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