Whalio Doctors

NPI 1558715714

Esh Enterprises LLC

Organisation Physical Disabilities Residential Treatment Facility Edgerton, WI

Practice location

Address
124 N Henry St, Edgerton, WI 53534-1868
Phone
(608) 884-2828
Fax
(608) 884-2820
Mailing address
2850 Monarch CT, Altoona, WI 54720-2642

Authorised official

Name
Ann E Simonson
Title
Owner
Phone
(715) 598-7040

Registered specialties

Physical Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320700000X Licence 0013881 (WI)

Registry record

NPI
1558715714
Entity type
Organization
NPI issued
14 Apr 2016
Record last updated
14 Apr 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.