| NPI | 1790817641 |
|---|---|
| Doing Business As | RIVER WAY NORTH |
| Entity Type | Organization |
| Authorized Contact | JERRY DEETZ Executive Director 715-538-4312 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WI 11601) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2021-04-15 |