| Longview Home For Boys | |
|
E4600 Hwy 56 Viroqua WI 54665 | |
| (608) 606-3776 | |
| (608) 637-8490 |
| Full Name | Longview Home For Boys |
|---|---|
| Speciality | Community/behavioral Health |
| Location | E4600 Hwy 56, Viroqua, Wisconsin |
| Authorized Official Name and Position | Jennifer Marie Hanson (OWNER/PROGRAM DIRECTOR) |
| Authorized Official Contact | 6086063776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longview Home For Boys E4600 Hwy 56 Viroqua WI 54665 Ph: (608) 606-3776 | Longview Home For Boys E4600 Hwy 56 Viroqua WI 54665 Ph: (608) 606-3776 |
| NPI Number | 1831472083 |
|---|---|
| Provider Enumeration Date | 09/23/2011 |
| Last Update Date | 09/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831472083 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Wisconsin) | Primary |
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