NPI 1871714543

St. Coletta of Wisconsin

Organisation Intellectual Disabilities Intermediate Care Facility Jefferson, WI

Practice location

Address: W4955 US Highway 18, Jefferson, WI 53549-9702
Phone: (920) 674-4330
Fax: (920) 674-8422

Authorised official

Name: John Heindel
Title: Vice President Financial Services
Phone: (920) 674-8287

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 1109 (WI)

Other Intermediate Care Facility, Intellectual Disabilities providers in Wisconsin →

Registry record

NPI: 1871714543
Entity type: Organization
NPI issued: 1 May 2007
Record last updated: 22 Aug 2020

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.