NPI 1336324946

State of Wisconsin

Organisation Intellectual Disabilities Intermediate Care Facility Madison, WI

Practice location

Address: 317 Knutson Dr, Madison, WI 53704-1133
Phone: (608) 301-9382

Authorised official

Name: Kimberly a Coplien
Title: Director of Rehabilitation Services
Phone: (608) 301-9382

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Wisconsin →

Registry record

NPI: 1336324946
Entity type: Organization
NPI issued: 2 Jan 2008
Record last updated: 26 Jan 2016

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.