Organization · Type 2 NPI

Vista Care South Dakota, LLC

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Sheboygan, WI

NPI number 1124586037 Active

Practice location

708 Erie Ave
Sheboygan, WI 53081-4060

Call (920) 694-1102 Map

Fax (920) 694-4685

Specialties and licenses

TaxonomyCodeLicense
In Home Supportive Care Agency 253Z00000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1124586037

Vista Care South Dakota, LLC's National Provider Identifier is 1124586037, issued on Mar 10, 2019. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Sheboygan, WI. The record was last updated on May 1, 2023.