Individual provider · Type 1 NPI
Diane Cook
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Viola, WI
Practice location
12489 State Highway 56
Viola, WI 54664-8914
Fax (608) 538-3782
Mailing address
17969 Wilson Springs Rd
Richland Center, WI 53581-8588
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
Another provider at this address
About NPI 1093174765
Diane Cook's National Provider Identifier is 1093174765, issued on Feb 23, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Viola, WI. The record was last updated on Feb 23, 2016.