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Long Term Care, Skilled Nursing, Home Health

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COUNTY OF TREMPEALEAU

Adult Care Home

Independence, Wisconsin

Provider NPI: 1306899513

Organization Information:
Organization Name:  COUNTY OF TREMPEALEAU


Practice Location:
23094 WHITEHALL RD  INDEPENDENCE, WI 54747 US
Tel: 715-985-2682  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
WI11249

Other Provider Identifiers:

IssuerNumberStateType
ADULT FAMILY HOME11249WI01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS WI - Page 1