COUNTY OF TREMPEALEAU
Assisted Living Facility
Pigeon Falls, Wisconsin
Provider NPI: 1659339273
Organization Information:Organization Name: COUNTY OF TREMPEALEAU
Practice Location:
13197 CHURCH STREET PIGEON FALLS, WI 54760 US
Tel: 715-538-4312 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:
13197 CHURCH STREET PIGEON FALLS, WI 54760 US
Tel: 715-538-4312 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | WI | 10272 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
COUNTRY RIDGE | 10272 | WI | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin