Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DIANE COOK
Active Sole ProprietorDIANE COOK is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in VIOLA, Wisconsin. NPI 1093174765 is currently active in the NPPES registry. Verify at CMS.
Intellectual Disabilities Residential Treatment Facility · VIOLA, WI
Registration Details
- NPI Number
- 1093174765
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 23, 2016 (10.285037785504 yrs)
- Last Updated
- Feb 23, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
12489 STATE HIGHWAY 56VIOLA, WI, 546648914Browse WI providers · Browse ZIP 54664
- Phone
- 6085383781
- Fax
- 6085383782
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.