# COUNTY OF VERNON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vernon Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750324687
- **Authorized official:** KIMBERLY GOCHANOUR (CEO)
- **Authorized official phone:** (608) 788-5700

## Contact information

- **Practice address:** 310 FAIRLANE DR, VIROQUA, WI 54665-6137
- **Practice address phone:** (608) 637-5400
- **Practice address fax:** (608) 637-5441
- **Mailing address:** 310 FAIRLANE DR, VIROQUA, WI 54665-6137
- **Mailing address phone:** (608) 637-5400
- **Mailing address fax:** (608) 637-5441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 2678 | WI | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 12/04/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 20157900 | — | WI |