NPI 1013792597

Rascals Resort LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Kendall, WI

Practice location

Address: 29429 County Highway V, Kendall, WI 54638-8518
Phone: (608) 463-7377
Mailing address: W10000 State Road 82, Elroy, WI 53929-9454

Authorised official

Name: Missy Andrews
Title: Sole Board Member
Phone: (608) 548-5006

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Wisconsin →

Registry record

NPI: 1013792597
Entity type: Organization
NPI issued: 31 Aug 2023
Record last updated: 31 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.