Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FARAH A IIMIE
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · PLOVER, WI
Registration Details
- NPI Number
- 1164301461
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 29, 2025 (0.64569987070979 yrs)
- Last Updated
- Aug 29, 2025
- License
-
9239202500 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3331 BRIDLEWOOD DRPLOVER, WI, 544673867Browse WI providers · Browse ZIP 54467
- Phone
- 9207146988
- 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.