NPI 1114172954
Renee M Coleman
Practice location
- Address
- 1971 21 15/16 St, Rice Lake, WI 54868-8583
- Phone
- (715) 234-2122
- Fax
- (715) 234-2122
- Mailing address
- 1971 Country Aire Drive, Rice Lake, WI 54868
Registered specialties
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1114172954
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 20 Nov 2008
- Record last updated
- 20 Nov 2008
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.