Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blandine House Inc

Organization Substance Abuse Rehabilitation Facility · NPI 1285922971

Blandine House Inc is a Substance Abuse Rehabilitation Facility in Fond Du Lac, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.

Licensed in
WI
In the registry since
2011
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

25 N Park Ave
Fond Du Lac, WI 54935-3501
Phone: (920) 922-9487
Fax: (920) 922-9184
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 1068-800 (WI)

Record details

NPI number1285922971
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Colwin — Executive Director · (920) 922-9487
NPI enumeratedJuly 14, 2011
Last updated in NPPESJuly 14, 2011
Mailing address25 N Park Ave, Fond Du Lac, WI 54935-3501

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