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COUNTY OF TREMPEALEAU

Intermediate Care Facility, Mentally Retarded

Whitehall, Wisconsin

Provider NPI: 1346208931

Organization Information:
Organization Name:  COUNTY OF TREMPEALEAU


Practice Location:
W20298 STATE ROAD 121  WHITEHALL, WI 54773 US
Tel: 715-538-4312  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
WI2987

Other Provider Identifiers:

IssuerNumberStateType
21050700WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS WI - Page 1



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