National Provider Identifier Database

COUNTY OF TREMPEALEAU
Adult Care Home

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.


Contact Information

COUNTY OF TREMPEALEAU
W21011 STATE ROAD 121
INDEPENDENCE, WI54747
Phone: 715-985-3673
Fax:
Website:
Specialty Taxonomy Code
* Adult Care Home 311ZA0620X

* Indicates primary specialty

NPI Profile & details for COUNTY OF TREMPEALEAU

NPI Number 1790817641
Legal business name
LBN
COUNTY OF TREMPEALEAU
Authorized official JERRY DEETZ - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 03/09/2007
Last updated 04/15/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 11601
  • WI Other: 11601 ADULT FAMILY HOME

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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