| Organization Name: | COUNTY OF GRANT |
| NPI Number: | 1841359536 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEFFERY A KINDRAI (DIRECTOR, HEALTH OFFICER) |
| Mailing Address: | 111 S Jefferson St Fl 2 Lancaster |
| State: | WI US |
| Postal Code: | 538131672 |
| Phone Number: | 6087236416 |
| Fax Number: | 6087236501 |
| NPI Enumeration Date: | 12/08/2006 |
| NPI Last Update Date: | 11/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 516 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |