NPI 1245502053

Gloria Aweke

Organisation Physical Disabilities Residential Treatment Facility Sun Prairie, WI

Practice location

Address: 1111 Gas Light Dr, Sun Prairie, WI 53590-3459
Phone: (608) 834-1473

Authorised official

Name: Gloria Aweke
Title: RN
Phone: (608) 834-1473

Registered specialties (2)

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 167973-30 (WI)

Other Residential Treatment Facility, Physical Disabilities providers in Wisconsin →

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence 167973-30 (WI)

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

Registry record

NPI: 1245502053
Entity type: Organization
NPI issued: 8 Feb 2012
Record last updated: 8 Feb 2012

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.