Organization
COUNTY OF GRANT
Active
Other names
GRANT COUNTY HOME NURSING
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY A KINDRAI MSPH, RS (DIRECTOR, HEALTH OFFICER)
(608) 723-6416
Entity
Organization
Contact information
Practice address
111 S JEFFERSON ST FL 2, LANCASTER, WI 53813-1672
(608) 723-6416
(608) 723-6501
Mailing address
111 S JEFFERSON ST FL 2, LANCASTER, WI 53813-1672
(608) 723-6416
(608) 723-6501
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
57
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41518900
—
WI
01
—
550678
DEAN HEALTH PLAN
WI
Enumeration date
12/11/2006
Last updated
11/13/2008
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