Organization
ROCK COUNTY 51437 BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS PERRY (DIRECTOR)
(608) 757-5052
Entity
Organization
Contact information
Practice address
3530 N COUNTY HWY F, JANESVILLE, WI 53547-1867
(608) 757-5052
Mailing address
3530 N COUNTY HWY F, P O BOX 1867, JANESVILLE, WI 53547-1867
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43078600
—
WI
Enumeration date
04/29/2008
Last updated
04/29/2008
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