NPI 1447559364

Hyland Park Community

Organisation Physical Disabilities Residential Treatment Facility Fitchburg, WI

Practice location

Address: 5440 Caddis Bnd, Fitchburg, WI 53711-7105
Phone: (608) 270-9200

Authorised official

Name: Ann Simonson
Title: Property Manager
Phone: (608) 318-1180

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 0013255 (WI)

Other Residential Treatment Facility, Physical Disabilities providers in Wisconsin →

Registry record

NPI: 1447559364
Entity type: Organization
NPI issued: 17 Mar 2011
Record last updated: 17 Mar 2011

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.