St Coletta of Wisconsin
St Coletta of Wisconsin is an Intellectual Disabilities Intermediate Care Facility in Jefferson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
W4955 US Highway 18Jefferson, WI 53549-9702
Phone: (920) 674-4330
Fax: (920) 674-8422
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
| Intellectual Disabilities Intermediate Care Facility (primary) | Taxonomy 315P00000X · Licence 1109 (WI) |
|---|
Record details
| NPI number | 1871714543 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Heindel — Vice President Financial Services · (920) 674-8287 |
| NPI enumerated | May 1, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | W4955 Us Highway 18, Jefferson, WI 53549-9702 |