Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STATE OF WISCONSIN
Active OrganizationICF/Individuals with Intellectual Disabilities · UNION GROVE, WI
Registration Details
- NPI Number
- 1043326747
- Provider Type
- Organization
- NPI Issued
- Aug 22, 2006 (19.665879688795 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.