NPI 1033659669

Colonial Club, INC.

Organisation Voluntary or Charitable Agency Sun Prairie, WI

Practice location

Address: 301 Blankenheim Ln, Sun Prairie, WI 53590-2373
Phone: (608) 837-4611
Fax: (608) 837-9302

Authorised official

Name: Melody Riedel
Title: Executive Director
Phone: (608) 837-4611

Registered specialties (2)

Voluntary or Charitable Agency Primary

Agencies Taxonomy 251V00000X Licence 265-800 (WI)

Other Voluntary or Charitable providers in Wisconsin →

Adult Day Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QA0600X

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Registry record

NPI: 1033659669
Entity type: Organization
NPI issued: 1 Mar 2017
Record last updated: 17 Apr 2025

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.