Provider Demographics
NPI:1326285826
Name:PHM NEW RICHMOND SENIOR HOUSINIG INC
Entity Type:Organization
Organization Name:PHM NEW RICHMOND SENIOR HOUSINIG INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAMPUS ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:
Authorized Official - Last Name:WRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-243-3903
Mailing Address - Street 1:1127 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW RICHMOND
Mailing Address - State:WI
Mailing Address - Zip Code:54017-1467
Mailing Address - Country:US
Mailing Address - Phone:715-243-3900
Mailing Address - Fax:715-243-3901
Practice Address - Street 1:2845 HAMLINE AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55113-7127
Practice Address - Country:US
Practice Address - Phone:651-631-6000
Practice Address - Fax:651-631-6122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-21
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility