State of Wisconsin
State of Wisconsin is an Intellectual Disabilities Intermediate Care Facility in Chippewa Falls, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
Practice location Address checks out
2820 E Park AveChippewa Falls, WI 54729-0340
Phone: (715) 723-7957
Show map & directions
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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 2753 (WI) |
|---|
Record details
| NPI number | 1235225616 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Craig Koehler — Director · (715) 723-5542 |
| Other names | Northern Wisconsin Center Excel; Northern Wisconsin Center Excel |
| NPI enumerated | October 5, 2006 |
| Last updated in NPPES | April 30, 2025 |
| Certification date | October 19, 2021 |
| Mailing address | 2820 East Park Avenue, Chippewa Falls, WI 54729-0340 |