County of Richland
County of Richland is a Skilled Nursing Facility in Richland Center, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.
- Licensed in
- WI
- In the registry since
- 2005
- Specialties on file
- 3
Practice location Address checks out
25951 Circle View DrRichland Center, WI 53581-4013
Phone: (608) 647-2138
Fax: (608) 647-8955
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 2365 (WI) |
|---|---|
| Nursing Facility Supplies (DME) | Taxonomy 332BN1400X · Licence 2365 (WI) |
| Parenteral & Enteral Nutrition Supplies (DME) | Taxonomy 332BP3500X · Licence 2365 (WI) |
Record details
| NPI number | 1144229055 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Shaponda Jimerson — Administrator · (608) 647-2138 |
| Other names | Pine Valley Community Village |
| NPI enumerated | July 21, 2005 |
| Last updated in NPPES | February 7, 2024 |
| Certification date | February 7, 2024 |
| Mailing address | 25951 Circle View Dr, Richland Center, WI 53581-4013 |
Other providers in Richland Center
-
Schmitt Woodland Hills Inc
1400 W Seminary St, Richland Center, WI 53581 · (608) 647-8931