Organization · Type 2 NPI
St. Coletta of Wisconsin, Inc.
Adult Day Care Clinic/Center · Jefferson, WI
NPI number
1295113587
Active
Practice location
N4637 County Road Y
Jefferson, WI 53549-9720
Fax (920) 674-8422
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | PROVISIONAL CERTIFIC (IL) |
| Home Health Agency | 251E00000X | None listed |
| Adult Day Care Clinic/Center Primary | 261QA0600X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 199800003C (IL) |
Adult Day Care Clinic/Center: Definition to come...
About NPI 1295113587
St. Coletta of Wisconsin, Inc.'s National Provider Identifier is 1295113587, issued on May 7, 2015. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Jefferson, WI. The record was last updated on Oct 8, 2024.