NPI 1346208931

County of Trempealeau

Organisation Intellectual Disabilities Intermediate Care Facility Whitehall, WI

Practice location

Address: W20298 State Road 121, Whitehall, WI 54773-9685
Phone: (715) 538-4312
Fax: (715) 538-2426

Authorised official

Name: Phillip John Borreson
Title: Executive Director
Phone: (715) 538-4312

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 2987 (WI)

Other Intermediate Care Facility, Intellectual Disabilities providers in Wisconsin →

Registry record

NPI: 1346208931
Entity type: Organization
NPI issued: 3 May 2006
Record last updated: 4 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.