| NPI | 1982736831 |
|---|---|
| Doing Business As | RIVER WAY SOUTH |
| Entity Type | Organization |
| Authorized Contact | JERRY DEETZ Excecutive Director 715-538-4312 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: WI 11602) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2021-04-19 |