- Enrollment id
- O20210827001186
- Enrollment state
- WI
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1003431321
- Multiple npi flag
- N
- Ccn
- 525513
- Associate id
- 0345645412
- Organization name
- RIVER FALLS WI OPCO LLC
- Incorporation date
- 2020-05-11
- Incorporation state
- WI
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- KINNIC HEALTH AND REHABILITATION CENTER
- Address line 1
- 1663 E DIVISION ST
- City
- RIVER FALLS
- State
- WI
- Zip code
- 540221571