Provider Demographics
NPI:1891987657
Name:LA CROSSE COUNTY AGING UNIT
Entity Type:Organization
Organization Name:LA CROSSE COUNTY AGING UNIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUROSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-785-6148
Mailing Address - Street 1:400 4TH ST N
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-3227
Mailing Address - Country:US
Mailing Address - Phone:608-785-6148
Mailing Address - Fax:608-785-6135
Practice Address - Street 1:400 4TH ST N
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-3227
Practice Address - Country:US
Practice Address - Phone:608-785-6148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals