Organization
VERNON COUNTY DEPT OF HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA J EITLAND (DIRECTOR)
(608) 637-5210
Entity
Organization
Contact information
Practice address
318 FAIRLANE DR, SUITE 100, VIROQUA, WI 54665-6140
(608) 637-5210
(608) 637-5505
Mailing address
318 FAIRLANE DR, SUITE 100, VIROQUA, WI 54665-6140
(608) 637-5210
(608) 637-5505
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32980700
—
WI
Enumeration date
02/26/2008
Last updated
08/26/2008
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