NPI 1609658160
Impact Family Services LLC
Practice location
- Address
- 1504 N Randall Ave, Janesville, WI 53545-1150
- Phone
- (608) 751-9265
Authorised official
- Name
- Adrienne Cannella
- Title
- Partner
- Phone
- (815) 988-5701
Registered specialties
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
Registry record
- NPI
- 1609658160
- Entity type
- Organization
- NPI issued
- 19 Oct 2023
- Record last updated
- 17 Sep 2024
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.