Carly Baker

Organization Child Intellectual and/or Developmental Disabilities Respite Care · NPI 1164739934

Carly Baker is a Child Intellectual and/or Developmental Disabilities Respite Care in West Salem, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2010.

Licensed in: WI
In the registry since: 2010

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Practice location Address checks out

146 E Tilson St
West Salem, WI 54669-1213
Phone: (608) 792-2646

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

Specialties & licences

Child Intellectual and/or Developmental Disabilities Respite Care (primary)	Taxonomy 385HR2060X · Licence 302971-031 (WI)

Record details

NPI number	1164739934
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Carly Baker — Lpn · (608) 792-2646
NPI enumerated	September 1, 2010
Last updated in NPPES	September 1, 2010
Mailing address	146 Tilson St E, West Salem, WI 54669-1213