NPI 1093174765

Diane Cook

Practitioner Intellectual and/or Developmental Disabilities Residential Treatment Facility Viola, WI

Practice location

Address: 12489 State Highway 56, Viola, WI 54664-8914
Phone: (608) 538-3781
Fax: (608) 538-3782
Mailing address: 17969 Wilson Springs Rd, Richland Center, WI 53581-8588

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Wisconsin →

Registry record

NPI: 1093174765
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2016
Record last updated: 23 Feb 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.