Organization
COUNTY OF LA CROSSE
Active
Parent organization
COUNTY OF LA CROSSE
Other names
Regent Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
COUNTY OF LA CROSSE
Authorized official
WANDA GIBNEY (EXECUTIVE DIRECTOR LONG TERM CARE &)
(608) 612-0643
Entity
Organization
Contact information
Practice address
856 GARLAND ST E, WEST SALEM, WI 54669
(608) 786-0168
(608) 793-6604
Mailing address
962 GARLAND ST E, WEST SALEM, WI 54669
(608) 786-1400
(608) 793-6505
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
03/02/2020
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