Organization
PARK VIEW HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA M WALTHALL NHA (ADMNISTRATOR)
(715) 698-2451
Entity
Organization
Contact information
Practice address
220 N LOCKWOOD ST, WOODVILLE, WI 54028-9577
(715) 698-2451
(715) 698-2363
Mailing address
220 N LOCKWOOD ST, PO BOX 265, WOODVILLE, WI 54028-9577
(715) 698-2451
(715) 698-2363
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
859
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20157700
—
WI
Enumeration date
09/02/2005
Last updated
08/22/2020
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