County of Shawano

NPI #1720088495 in Shawano, Wisconsin

Provider Information

NPI Number: 1720088495
Entity Type: Organization
Organization Name: County of Shawano
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Jul 26, 2005
Last Updated: Sep 10, 2007

Practice Location

Address: N4231 STATE HIGHWAY 22
City: Shawano
State: Wisconsin
ZIP Code: 54166-6130
Phone: (715) 526-3158

Authorized Official

Name: MRS. DEBBRA R KESSEN
Title: ACCOUNTANT/CONTROLLER
Phone: (715) 526-3158

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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Lakeview Health Center	Intermediate Care Facility, Intellectual Disabilities	West Salem	AI Deep Dive
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County of Trempealeau Part of County of Trempealeau	Intermediate Care Facility, Intellectual Disabilities	Whitehall	AI Deep Dive
State of Wisconsin	Intermediate Care Facility, Intellectual Disabilities	Union Grove	AI Deep Dive

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