Organization · Type 2 NPI
Heyde Health System, Inc
Intellectual Disabilities Intermediate Care Facility · Bloomer, WI
NPI number
1790771368
Active
Practice location
14135 150th Ave
Bloomer, WI 54724-4410
Fax (715) 288-6312
Mailing address
345 Frenette Dr
Chippewa Falls, WI 54729-3372
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 2970 (WI) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Another provider at this address
About NPI 1790771368
Heyde Health System, Inc's National Provider Identifier is 1790771368, issued on Sep 20, 2005. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Bloomer, WI. The record was last updated on Aug 22, 2020.