My Innovative Services
My Innovative Services is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Green Bay, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2011.
- Licensed in
- WI
- In the registry since
- 2011
Practice location Address checks out
445 S Madison StGreen Bay, WI 54301-4126
Phone: (920) 431-0962
Fax: (920) 884-1967
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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 · Licence 320900000X (WI) |
|---|
Record details
| NPI number | 1790067890 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Marsha Burklund — Controller · (920) 431-0962 |
| NPI enumerated | September 14, 2011 |
| Last updated in NPPES | September 14, 2011 |
| Mailing address | 445 S Madison St, Green Bay, WI 54301-4126 |
Other providers in Green Bay
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Innovative Services, Inc
445 S Madison St, Green Bay, WI 54301-4126 · (920) 431-0962