COUNTY OF TREMPEALEAU
Adult Care Home
Whitehall, Wisconsin
Provider NPI: 1982736831
Organization Information:Organization Name: COUNTY OF TREMPEALEAU
Practice Location:
39906 COMMERCIAL AVE WHITEHALL, WI 54773 US
Tel: 715-983-5658 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
39906 COMMERCIAL AVE WHITEHALL, WI 54773 US
Tel: 715-983-5658 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | WI | 11602 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
ADULT FAMILY HOME | 11602 | WI | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin