Hickory Ridge Adult Family Home

LBN: County Of Trempealeau
Hickory Ridge Adult Family Home is an health care organization with primary practice located at W17306 Arneson Ridge Rd. , Blair WI 54616. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. County Of Trempealeau can be contacted via phone (608) 989-2018, or through Deetz, Jerru via phone (715) 538-4312.

Contact Information

Primary practice address
W17306 Arneson Ridge Rd. Blair WI 54616
Phone: (608) 989-2018
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Deetz, Jerru N.H.A
Phone: (715) 538-4312

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X 11796 Wisconsin

Profile Details

NPI number 1326170267
LBN Legal business name County Of Trempealeau
DBA Doing business as Hickory Ridge Adult Family Home
Authorized official Deetz, Jerru N.H.A
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 9th, 2007
Last updated Apr 15th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1326170267 NPPES
Wisconsin Other 11796 ADULT FAMILY HOME

Popular Providers