Organization · Type 2 NPI

County of Trempealeau

Assisted Living Facility · Pigeon Falls, WI

NPI number 1659339273 Active

Practice location

13197 Church Street
Pigeon Falls, WI 54760

Call (715) 538-4312 Map

Fax (715) 983-5700

Mailing address

W20410 State Road 121
Whitehall, WI 54773-9147

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	10272 (WI)

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

2 other providers at this address

NPI record

NPI: 1659339273
Entity type: Organization (Type 2)
Issued: May 3, 2006
Last updated: Apr 15, 2021
Status: Active
Subpart: Yes of County of Trempealeau

Other names

<unavail>
Country Ridge · doing business as
Country Ridge · doing business as

Authorized official

Jerry Deetz, N.H.A.
Executive Director
(715) 538-4312

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1659339273

County of Trempealeau's National Provider Identifier is 1659339273, issued on May 3, 2006. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Pigeon Falls, WI. The record was last updated on Apr 15, 2021.