Organization
PINE VIEW TERRACE, LLC DBA DOVE HEALTHCARE TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL L ROSEMEYER NHA (ADMINISTRATOR)
(715) 552-1030
Entity
Organization
Contact information
Practice address
1405 TRUAX BLVD, EAU CLAIRE, WI 54703-1474
(715) 552-1030
(715) 552-1033
Mailing address
1405 TRUAX BLVD, EAU CLAIRE, WI 54703-1474
(715) 552-1030
(715) 552-1033
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100047491
—
WI
Enumeration date
11/17/2015
Last updated
11/17/2015
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