NPI 1093700098

Petersen Health Care of Wi, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Rhinelander, WI

Practice location

Address: 902 Boyce Dr, Rhinelander, WI 54501-3835
Phone: (715) 365-6818
Fax: (715) 365-6770
Mailing address: 902 Boyce Drive P.O. Box 857, Rhinelander, WI 54501-0857

Authorised official

Name: Terry L Friese
Title: President/Ceo
Phone: (715) 365-6900

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X Licence 2752 (WI)

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

Registry record

NPI: 1093700098
Entity type: Organization
NPI issued: 15 Sep 2005
Record last updated: 22 Aug 2020

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.