NPI 1265429278

County of Grant - Orchard Manor Fdd

Organisation Intellectual Disabilities Intermediate Care Facility Lancaster, WI

Practice location

Address: 8800 Hwy 61, Lancaster, WI 53813-9306
Phone: (608) 723-2113
Fax: (608) 723-2210

Authorised official

Name: Donna Haines
Title: Administrator
Phone: (608) 723-2113

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 3109 (WI)

Other Intermediate Care Facility, Intellectual Disabilities providers in Wisconsin →

Registry record

NPI: 1265429278
Entity type: Organization
NPI issued: 4 Oct 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.