NPI 1750915575
County of La Crosse
Practice location
- Address
- 856 Garland St E, West Salem, WI 54669
- Phone
- (608) 786-0168
- Fax
- (608) 793-6604
- Mailing address
- 962 Garland St E, West Salem, WI 54669
Authorised official
- Name
- Wanda Gibney
- Title
- Executive Director Long Term Care &
- Phone
- (608) 612-0643
Registered specialties
Adult Care Home Facility
Primary
Registry record
- NPI
- 1750915575
- Entity type
- Organization
- NPI issued
- 2 Mar 2020
- Record last updated
- 2 Mar 2020
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.