- Enrollment id
- O20191017001608
- Enrollment state
- MN
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1578111589
- Multiple npi flag
- N
- Ccn
- 245237
- Associate id
- 5597096859
- Organization name
- RIVER VALLEY HEALTH AND REHABILITATION CENTER LLC
- Incorporation date
- 2019-07-03
- Incorporation state
- MN
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- RIVER VALLEY HEALTH AND REHABILITATION CENTER LLC
- Affiliation entity name
- MONARCH HEALTHCARE MANAGEMENT
- Affiliation entity id
- 361
- Address line 1
- 200 S DEKALB ST
- City
- REDWOOD FALLS
- State
- MN
- Zip code
- 562831913