Healthcare Provider Details

I. General information

NPI: 1023255817
Provider Name (Legal Business Name): HP/HILLVIEW, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2009
Last Update Date: 01/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1663 E DIVISION ST
RIVER FALLS WI
54022-1571
US

IV. Provider business mailing address

1663 E DIVISION ST
RIVER FALLS WI
54022-1571
US

V. Phone/Fax

Practice location:
  • Phone: 715-426-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DOUGLAS K MITTLEIDER
Title or Position: PRESIDENT
Credential:
Phone: 770-619-0866