Blandine House INC
NPI #1285922971 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1285922971
- Entity Type
- Organization
- Organization Name
- Blandine House INC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jul 14, 2011
- Last Updated
- Jul 14, 2011
Practice Location
- Address
- 25 N PARK AVE
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935-3501
- Phone
- (920) 922-9487
Authorized Official
- Name
- MR. JAMES COLWIN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (920) 922-9487
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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