Organization · Type 2 NPI

State of Wisconsin

Intellectual Disabilities Intermediate Care Facility · Madison, WI

NPI number 1336324946 Active

About NPI 1336324946

State of Wisconsin's National Provider Identifier is 1336324946, issued on Jan 2, 2008. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Madison, WI. The record was last updated on Jan 26, 2016.