Lori Knapp Fond Du Lac, INC
NPI #1679721435 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1679721435
- Entity Type
- Organization
- Organization Name
- Lori Knapp Fond Du Lac, INC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Sep 5, 2008
- Last Updated
- Sep 5, 2008
Practice Location
- Address
- 625 FOND DU LAC AVE
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54935
- Phone
- (920) 907-0949
Authorized Official
- Name
- DONALD B KNAPP
- Title
- CEO
- Phone
- (608) 326-5536
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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