Farah A Iimie

NPI #1164301461 in Plover, Wisconsin

Provider Information

NPI Number: 1164301461
Entity Type: Individual
Name: Farah A Iimie
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Aug 29, 2025
Last Updated: Aug 29, 2025

Practice Location

Address: 3331 BRIDLEWOOD DR
City: Plover
State: Wisconsin
ZIP Code: 54467-3867
Phone: (920) 714-6988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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