County of Shawano
County of Shawano is an Intellectual Disabilities Intermediate Care Facility in Shawano, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2005.
- Licensed in
- WI
- In the registry since
- 2005
Practice location Address checks out
N4231 State Highway 22Shawano, WI 54166-6130
Phone: (715) 526-3158
Fax: (715) 526-6823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 2994 (WI) |
|---|
Record details
| NPI number | 1720088495 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Debbra Kessen — Accountant/Controller · (715) 526-3158 |
| Other names | Maple Lane Health Care Center |
| NPI enumerated | July 26, 2005 |
| Last updated in NPPES | September 10, 2007 |
| Mailing address | N4231 State Highway 22, Shawano, WI 54166-6130 |