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Organization

TREMPEALEAU COUNTY HEALTH CARE CENTER

Active
Parent organization
TREMPEALEAU COUNTY HEALTH CARE CENTER
Other names
Clover Way
Organization subpart
Yes

Provider details

NPI number
Legal business name
TREMPEALEAU COUNTY HEALTH CARE CENTER
Authorized official
JERRY DEETZ NHA (EXECUTIVE DIRECTOR)
(715) 538-4312
Entity
Organization

Contact information

Practice address
36125 E END RD, INDEPENDENCE, WI 54747-8080
(715) 985-2270
(715) 985-2318
Mailing address
W20410 STATE ROAD 121, WHITEHALL, WI 54773-9147
(751) 538-4312
(715) 538-2426

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0012375
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0012375
ADULT FAMILY HOME
WI
Enumeration date
06/10/2008
Last updated
04/15/2021
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