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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STATE OF WISCONSIN

Active Organization

STATE OF WISCONSIN is a Intellectual Disabilities Residential Treatment Facility organization located in MADISON, Wisconsin. NPI 1588703078 is currently active in the NPPES registry. Verify at CMS.

Intellectual Disabilities Residential Treatment Facility · MADISON, WI

Registration Details

NPI Number
1588703078
Provider Type
Organization
NPI Issued
Feb 5, 2007 (19.554376354687 yrs)
Last Updated
Oct 21, 2010
License
1000-042 (WI)

Practice Information

Address
317 KNUTSON DR
MADISON, WI, 537041133
Browse WI providers · Browse ZIP 53704
Phone
6083011946
Fax
6083011871

Other Intellectual Disabilities Residential Treatment Facility Organizations in MADISON, WI

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.