Organization
JEFFERSON COUNTY CLTS WAIVER
Active
Parent organization
JEFFERSON COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON COUNTY
Authorized official
BRIAN BELLFORD CPA (DEPUTY DIRECTOR)
(920) 674-3105
Entity
Organization
Contact information
Practice address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-3105
Mailing address
1541 ANNEX RD, JEFFERSON, WI 53549-9803
(920) 674-3105
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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