Organization
COUNTY OF VERNON
Active
Other names
Vernon Manor
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GOCHANOUR (CEO)
(608) 788-5700
Entity
Organization
Contact information
Practice address
310 FAIRLANE DR, VIROQUA, WI 54665-6137
(608) 637-5400
(608) 637-5441
Mailing address
310 FAIRLANE DR, VIROQUA, WI 54665-6137
(608) 637-5400
(608) 637-5441
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2678
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20157900
—
WI
Enumeration date
06/14/2006
Last updated
12/04/2024
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