Organization
LONGVIEW HOME FOR BOYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER MARIE HANSON BACHELORS (OWNER/PROGRAM DIRECTOR)
(608) 606-3776
Entity
Organization
Contact information
Practice address
E4600 HWY 56, VIROQUA, WI 54665
(608) 606-3776
(608) 637-8490
Mailing address
E4600 HWY 56, VIROQUA, WI 54665
(608) 606-3776
(608) 637-8490
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
WI
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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