Organization
COUNTY OF TREMPEALEAU
Active
Parent organization
COUNTY OF TREMPEALEAU
Other names
Apple Way Adult Family Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF TREMPEALEAU
Authorized official
JERRY DEETZ N.H.A. (EXECUTIVE DIRECTOR)
(715) 538-4312
Entity
Organization
Contact information
Practice address
23094 WHITEHALL RD, INDEPENDENCE, WI 54747-9065
(715) 985-2682
Mailing address
W20410 STATE ROAD 121, WHITEHALL, WI 54773-9147
(715) 538-4312
(715) 538-2426
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
11249
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11249
ADULT FAMILY HOME
WI
Enumeration date
05/18/2006
Last updated
04/15/2021
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