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COUNTY OF TREMPEALEAU

Assisted Living, Mental Illness

Independence, Wisconsin

Provider NPI: 1952541013

Organization Information:
Organization Name:  COUNTY OF TREMPEALEAU


Practice Location:
36125 E END RD  INDEPENDENCE, WI 54747 US
Tel: 715-985-2270  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
WI12483

Other Provider Identifiers:

IssuerNumberStateType
12483WI05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS WI - Page 1



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