Organization
WELLHAVEN SENIOR HOSUING, LLC
Active
Parent organization
THE LUTHERAN HOMW ASSOCIATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE LUTHERAN HOMW ASSOCIATION
Authorized official
TWYLAH S WIELAND NHA (ADMINISTRATOR)
(715) 425-5353
Entity
Organization
Contact information
Practice address
119 UNION ST, RIVER FALLS, WI 54022-1550
(715) 425-5353
(715) 425-9911
Mailing address
119 UNION ST, RIVER FALLS, WI 54022-1550
(715) 425-5353
(715) 425-9911
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0013453
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013453
RESIDENTIAL CARE APARTMENT COMPLEX LICENSE
WI
Enumeration date
02/04/2011
Last updated
02/04/2011
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