Organization · Type 2 NPI
State of Wisconsin
Intellectual Disabilities Intermediate Care Facility · Union Grove, WI
NPI number
1043326747
Active
Practice location
21425 Spring St
Union Grove, WI 53182-9707
Fax (262) 878-2922
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 2763 (WI) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
18 other providers at this address
- Milwaukee VamcVA Clinic/Center Union Grove, WI NPI 1326087222
- Va Medical CenterMilitary Hospital Union Grove, WI NPI 1497056535
- Adam Lee Wesner, LCSWClinical Social Worker Union Grove, WI NPI 1619486776
- Aileen Benjakul, MDInternal Medicine Physician Union Grove, WI NPI 1669491130
- Anne M. Schlimgen, MDInternal Medicine Physician Union Grove, WI NPI 1003921289
- Dina M. Twigg, CNPAdult Health Nurse Practitioner Union Grove, WI NPI 1629055371
- Iwona M. Pakula-Haller, MDPsychiatry Physician Union Grove, WI NPI 1154345809
- Jennifer Lynn Moreno, MSWSocial Worker Union Grove, WI NPI 1508131855
- Jerry Lee Ceilesh, DDSDentist Union Grove, WI NPI 1790935914
- Joshua D. Phillips, MDPsychiatry Physician Union Grove, WI NPI 1023139805
- Karrylyn K. KaisSpeech-Language Pathologist Union Grove, WI NPI 1003473240
- Lana R. Buttke, NPNurse Practitioner Union Grove, WI NPI 1316122369
About NPI 1043326747
State of Wisconsin's National Provider Identifier is 1043326747, issued on Aug 22, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Union Grove, WI. The record was last updated on Feb 14, 2008.