NPI 1235225616

State of Wisconsin

Organisation Intellectual Disabilities Intermediate Care Facility Chippewa Falls, WI

Practice location

Address: 2820 East Park Avenue, Chippewa Falls, WI 54729-0340
Phone: (715) 723-7957

Authorised official

Name: Craig Koehler
Title: Director
Phone: (715) 723-5542

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 2753 (WI)

Other Intermediate Care Facility, Intellectual Disabilities providers in Wisconsin →

Registry record

NPI: 1235225616
Entity type: Organization
NPI issued: 5 Oct 2006
Record last updated: 30 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.