Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STATE OF WISCONSIN
Active OrganizationSTATE OF WISCONSIN is a ICF/Individuals with Intellectual Disabilities organization located in UNION GROVE, Wisconsin. NPI 1043326747 is currently active in the NPPES registry. Verify at CMS.
ICF/Individuals with Intellectual Disabilities · UNION GROVE, WI
Registration Details
- NPI Number
- 1043326747
- Provider Type
- Organization
- NPI Issued
- Aug 22, 2006 (20.003310381896 yrs)
- Last Updated
- Feb 14, 2008
- License
-
2763 (WI)
Practice Information
- Address
-
21425 SPRING STUNION GROVE, WI, 531829707Browse WI providers · Browse ZIP 53182
- Phone
- 2628782411
- Fax
- 2628782922
- Primary Specialty
-
ICF/Individuals with Intellectual Disabilities
315P00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.