Organization
COUNTY OF GRANT, OFFICE OF CLERK DBA UNIFIED COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN SUDMEIER (COMPTROLLER)
(608) 723-6357
Entity
Organization
Contact information
Practice address
1122 PROFESSIONAL DR, DODGEVILLE, WI 53533-1176
(608) 935-2776
(608) 935-3174
Mailing address
200 W ALONA LN, LANCASTER, WI 53813-2202
(608) 723-6357
(608) 723-4417
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43082600
—
WI
Enumeration date
11/05/2008
Last updated
11/05/2008
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