# FOND DU LAC COUNTY HUMAN SERVICE GROUP HOMES

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FOND DU LAC COUNTY
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518896539
- **Legal business name:** FOND DU LAC COUNTY
- **Authorized official:** MICHELLE PAUL (BUSINESS OPERATION DIVISION MANAGER)
- **Authorized official phone:** (920) 929-3446

## Contact information

- **Practice address:** 79 E 9TH ST, FOND DU LAC, WI 54935-5056
- **Practice address phone:** (920) 929-3482
- **Mailing address:** 400 UNIVERSITY DR STE A1, FOND DU LAC, WI 54935-2997
- **Mailing address phone:** (920) 929-3446
- **Mailing address fax:** (920) 929-3446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SL0600X | Long-Term Care Clinical Nurse Specialist | — | NULL | Yes |
| 364SL0600X | Long-Term Care Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2026
- **Last updated:** 05/18/2026
