| NPI | 1154320802 |
|---|---|
| Other Name | BARRON RIVERSIDE MANOR |
| Entity Type | Organization |
| Authorized Contact | GRANT D. THAYER President 715-837-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: WI 3038) |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2007-10-29 |