Organization · Type 2 NPI
Lori Knapp Fond Du Lac, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fond Du Lac, WI
Practice location
625 Fond Du Lac Ave
Fond Du Lac, WI 54935
Fax (920) 907-0961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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.
About NPI 1679721435
Lori Knapp Fond Du Lac, Inc's National Provider Identifier is 1679721435, issued on Sep 5, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Fond Du Lac, WI. The record was last updated on Sep 5, 2008.