Colonial Club, Inc
Colonial Club, Inc is a Voluntary or Charitable Agency in Sun Prairie, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2017.
- Licensed in
- WI
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
301 Blankenheim LnSun Prairie, WI 53590-2373
Phone: (608) 837-4611
Fax: (608) 837-9302
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Voluntary or Charitable Agency (primary) | Taxonomy 251V00000X · Licence 265-800 (WI) |
|---|---|
| Adult Day Care Clinic/Center | Taxonomy 261QA0600X |
Record details
| NPI number | 1033659669 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Melody Riedel — Executive Director · (608) 837-4611 |
| NPI enumerated | March 1, 2017 |
| Last updated in NPPES | April 17, 2025 |
| Certification date | April 17, 2025 |
| Mailing address | 301 Blankenheim Ln, Sun Prairie, WI 53590-2373 |