Organization
MISSISSIPPI VALLEY HEALTH SERVICES COMMISSION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. WANDA PLACHECKI (ADMINISTRATOR)
(608) 786-1400
Entity
Organization
Contact information
Practice address
962 GARLAND ST E, WEST SALEM, WI 54669-1308
(608) 786-1400
Mailing address
962 GARLAND ST E, WEST SALEM, WI 54669-1308
(608) 786-1400
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2395
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2395
DEPT OF HEALTH SERVICES, DIV OF QUALITY ASSURANCE
WI
Enumeration date
07/28/2009
Last updated
02/15/2023
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