Lori Knapp Fond Du Lac, Inc

Organization Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI 1679721435

Lori Knapp Fond Du Lac, Inc is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fond Du Lac, Wisconsin. Registered with an NPI since 2008.

In the registry since: 2008

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

625 Fond Du Lac Ave
Fond Du Lac, WI 54935
Phone: (920) 907-0949
Fax: (920) 907-0961

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

Specialties & licences

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary)	Taxonomy 320900000X

Record details

NPI number	1679721435
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Donald Knapp — Ceo · (608) 326-5536
NPI enumerated	September 5, 2008
Last updated in NPPES	September 5, 2008
Mailing address	625 Fond Du Lac Ave, Fond Du Lac, WI 54935