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Country Grove Home Llc
Assisted Living Facility (Mental Illness) in Necedah, Wisconsin
NPI 1306162706

Country Grove Home Llc is an Assisted Living Facility (Mental Illness) based in Necedah, WI and is specialized in Assisted Living, Mental Illness. Country Grove Home Llc practices in Necedah, WI. The NPI Number for Country Grove Home Llc is 1306162706 and holds a License No. 0011011 (Wisconsin).

The current practice location address for Country Grove Home Llc is N11151 17Th Ave, Necedah, WI and can be reached out via phone at 608-565-2735.

Location: N11151 17Th Ave, Necedah, WI, 54646-7934
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306162706
Provider Name
Country Grove Home Llc
Credential
Provider Entity Type
Organization
Address
N11151 17Th Ave, Necedah, WI, 54646-7934
Phone Number
608-565-2735
Fax Number
Provider Enumeration Date
04/12/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
N11151 17Th Ave
City
Necedah
State
Wisconsin
Zip
54646-7619
Phone Number
608-565-2735
Fax Number
person
Provider Business Mailing Address Details
Address
N11151 17Th Ave
City
Necedah
State
Wisconsin
Zip
54646-7619
Phone Number
608-565-2735
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
Assisted Living, Mental Illness
Taxonomy
3104A0625X
License No.
0011011 (Wisconsin)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
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