Organization · Type 2 NPI
Sumac Residential LLC
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hudson, WI
Practice location
723 B Blue Jay Lane
Hudson, WI 54016
Mailing address
723B Blue Jay Ln
Hudson, WI 54016-7695
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None 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.
Other intellectual and/or developmental disabilities residential treatment facility providers in Hudson
About NPI 1912214966
Sumac Residential LLC's National Provider Identifier is 1912214966, issued on Sep 10, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Hudson, WI. The record was last updated on Sep 10, 2010.