County of Trempealeau

NPI #1790817641 in Independence, Wisconsin

Provider Information

NPI Number
1790817641
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
Mar 9, 2007
Last Updated
Apr 15, 2021

Practice Location

Address
W21011 STATE ROAD 121
ZIP Code
54747
Phone
(715) 985-3673

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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