Individual provider · Type 1 NPI

Cheryl McMahon

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Rice Lake, WI

NPI number 1316482920 Active

Practice location

2483 28th St
Rice Lake, WI 54868-9098

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone 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.

About NPI 1316482920

Cheryl McMahon's National Provider Identifier is 1316482920, issued on Jan 5, 2017. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Rice Lake, WI. The record was last updated on Jan 5, 2017.