Organization
THE LUTHERAN HOME COCHRANE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA STINSON LSW (ADMINISTRATOR)
(608) 248-2658
Entity
Organization
Contact information
Practice address
400 S MAIN ST, COCHRANE, WI 54622-7251
(608) 248-2658
(608) 248-2658
Mailing address
400 S MAIN ST, COCHRANE, WI 54622-7251
(608) 248-2658
(608) 248-2658
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
CBRF817
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CBRF817
WI DEPT OF HEALTH
WI
Enumeration date
04/03/2007
Last updated
08/22/2020
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