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Organization
COUNTY OF TREMPEALEAU
Active
Organization
COUNTY OF TREMPEALEAU
Active
Parent organization
COUNTY OF TREMPEALEAU
Other names
TCHCC-ICFMR
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF TREMPEALEAU
Authorized official
MR. PHILLIP JOHN BORRESON N.H.A., M.S. (EXECUTIVE DIRECTOR)
(715) 538-4312
Entity
Organization
Contact information
Practice address
W20298 STATE ROAD 121, WHITEHALL, WI 54773-9685
(715) 538-4312
(715) 538-2426
Mailing address
W20298 STATE ROAD 121, WHITEHALL, WI 54773-9685
(715) 538-4312
(715) 538-2426
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2987
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21050700
—
WI
Enumeration date
05/03/2006
Last updated
06/04/2010
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