Pine Valley Residential Services
Pine Valley Residential Services is a Case Management Agency in Mauston, Wisconsin. Works from 2 locations. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2013
- Specialties on file
- 4
Practice location Address checks out
124 Grayside AveMauston, WI 53948-1913
Phone: (608) 847-7575
Fax: (608) 847-3096
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- W1889 Koval Rd, Lyndon Station, WI 53944-9398 — (608) 847-7575
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X · Licence AFH (WI) |
|---|---|
| Case Management Agency | Taxonomy 251B00000X · Licence 7163-123 (WI) |
| Community/Behavioral Health Agency | Taxonomy 251S00000X · Licence 7163-123 (WI) |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | Taxonomy 320900000X · Licence AFH (WI) |
Record details
| NPI number | 1891126751 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jessica Schulz — Ceo / Owner Member Llc · (608) 847-7575 |
| Other names | Pine Valley Services |
| NPI enumerated | December 3, 2013 |
| Last updated in NPPES | August 28, 2023 |
| Certification date | August 28, 2023 |
| Mailing address | Po Box 359, Mauston, WI 53948-0359 |
Other providers in Mauston
-
Juneau County
200 Hickory St, Mauston, WI 53948-2101 · (608) 847-2400