Organization · Type 2 NPI

County of Shawano

Intellectual Disabilities Intermediate Care Facility · Shawano, WI

NPI number 1720088495 Active

Practice location

N4231 State Highway 22
Shawano, WI 54166-6130

Call (715) 526-3158 Map

Fax (715) 526-6823

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X2994 (WI)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

5 other providers at this address

About NPI 1720088495

County of Shawano's National Provider Identifier is 1720088495, issued on Jul 26, 2005. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Shawano, WI. The record was last updated on Sep 10, 2007.