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Organization
LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.
Active
Organization
LUTHERAN SOCIAL SERVICES OF WISCONSIN AND UPPER MICHIGAN, INC.
Active
Other names
LSS Homme
Organization subpart
No
Provider details
NPI number
Authorized official
TARA TREGLOWNE (COO)
(414) 246-2300
Entity
Organization
Contact information
Practice address
W18105 HEMLOCK RD, WITTENBERG, WI 54499-8647
(715) 253-2116
Mailing address
W18105 HEMLOCK RD, WITTENBERG, WI 54499-8647
(715) 253-2116
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43017600
—
WI
Enumeration date
11/21/2006
Last updated
01/06/2025
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