| NPI | 1154316438 |
|---|---|
| Other Name | BETHANY RIVERSIDE |
| Entity Type | Organization |
| Authorized Contact | TODD A GARVES Chief Financial Officer 608-406-3888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 2707) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2022-08-02 |