Organization
COUNTY OF MONROE CLERK COURT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA SMITH (NURSING HOME DIRECTOR)
(608) 269-8620
Entity
Organization
Contact information
Practice address
14400 COUNTY HIGHWAY B, SPARTA, WI 54656-4611
(608) 269-8800
(608) 269-4386
Mailing address
14400 COUNTY HIGHWAY B, SPARTA, WI 54656-4611
(608) 269-8800
(608) 269-4386
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21052600
—
WI
Enumeration date
12/14/2006
Last updated
04/12/2023
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