Rescare Residentail Services Wisconsin, LLC

NPI #1497271449 in Johnson Creek, Wisconsin

Provider Information

NPI Number
1497271449
Entity Type
Organization
Organization Name
Rescare Residentail Services Wisconsin, LLC
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Aug 21, 2017
Last Updated
Apr 10, 2024

Practice Location

Address
540 VILLAGE WALK LN STE C
ZIP Code
53038-9554
Phone
(920) 261-3050

Authorized Official

Name
ANGIE MATTINGLY
Title
MGR PROVIDER ENROLLMENT
Phone
(502) 394-2100

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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