Organization · Type 2 NPI
Gloria Aweke
Physical Disabilities Residential Treatment Facility · Sun Prairie, WI
NPI number
1245502053
Active
Practice location
1111 Gas Light Dr
Sun Prairie, WI 53590-3459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 167973-30 (WI) |
| Physical Disabilities Residential Treatment Facility Primary | 320700000X | 167973-30 (WI) |
Physical Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
About NPI 1245502053
Gloria Aweke's National Provider Identifier is 1245502053, issued on Feb 8, 2012. The primary taxonomy on file is Physical Disabilities Residential Treatment Facility (320700000X), and the practice location is in Sun Prairie, WI. The record was last updated on Feb 8, 2012.