County of Trempealeau

NPI #1306899513 in Independence, Wisconsin

Provider Information

NPI Number
1306899513
Entity Type
Organization
Organization Name
County of Trempealeau
Subpart
Yes (part of a larger organization)
Parent Organization
COUNTY OF TREMPEALEAU
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
May 18, 2006
Last Updated
Apr 15, 2021

Practice Location

Address
23094 WHITEHALL RD
ZIP Code
54747-9065
Phone
(715) 985-2682

Authorized Official

Name
JERRY DEETZ, N.H.A.
Title
EXECUTIVE DIRECTOR
Phone
(715) 538-4312

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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