Organization
LAFAYETTE COUNTY HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES THOMAS MACDONALD (DIRECTOR)
(608) 776-4800
Entity
Organization
Contact information
Practice address
627 MAIN ST, DARLINGTON, WI 53530-1395
(608) 776-4800
(608) 776-4914
Mailing address
627 MAIN ST, DARLINGTON, WI 53530-1395
(608) 776-4800
(608) 776-4914
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
1490
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43073300
—
WI
Enumeration date
04/07/2008
Last updated
04/07/2008
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