NPI 1740039254

Vista Care Utah, LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Sheboygan, WI

Practice location

Address: 708 Erie Ave STE 201, Sheboygan, WI 53081-4060
Phone: (920) 694-1102

Authorised official

Name: Timothy Alan Frey
Title: Owner
Phone: (920) 694-1102

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1740039254
Entity type: Organization
NPI issued: 16 May 2024
Record last updated: 16 May 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.