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Organization

MARQUETTE COUNTY DHS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CAROL WRIGHT (DIRECTOR)
(608) 297-3124
Entity
Organization

Contact information

Practice address
428 UNDERWOOD AVE, MONTELLO, WI 53949
(608) 297-3124
(608) 297-8718
Mailing address
428 UNDERWOOD AVE, PO BOX 405, MONTELLO, WI 53949
(608) 297-3124
(608) 297-8718

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251J00000X
Nursing Care Agency

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
32977000
WI
05
32977271
WI
05
43073800
WI
05
43073900
WI
05
43100900
WI
05
43422000
WI
05
43422100
WI
Enumeration date
04/24/2008
Last updated
05/19/2008
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