Organization
VALLEY VILLAS, LLC
Active
Parent organization
SPRING VALLEY HEALTH CARE SERVICES, INC.
Other names
Valley Villas Assisted Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPRING VALLEY HEALTH CARE SERVICES, INC.
Authorized official
MR. KEVIN H. LARSON CNHA, BSHCA (ADMINISTRATOR/CEO)
(715) 778-5545
Entity
Organization
Contact information
Practice address
S820 WESTLAND DR, SPRING VALLEY, WI 54767-8241
(715) 778-5535
(715) 778-5540
Mailing address
S820 WESTLAND DR, SPRING VALLEY, WI 54767-8241
(715) 778-5535
(715) 778-5540
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0013449
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013449
STATE LICENSURE CERTIFICATION
WI
Enumeration date
10/04/2010
Last updated
10/04/2010
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