State of Wisconsin
State of Wisconsin is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
317 Knutson DrMadison, WI 53704-1133
Phone: (608) 301-1946
Fax: (608) 301-1871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 1000-042 (WI) |
|---|
Record details
| NPI number | 1588703078 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of Wisconsin |
| Authorized official | Janice Holling — Center Director · (608) 301-9229 |
| Other names | Central Wisconsin Center Pharmacy Department |
| NPI enumerated | February 5, 2007 |
| Last updated in NPPES | October 21, 2010 |
| Mailing address | 317 Knutson Dr, Madison, WI 53704-1133 |
Other providers in Madison
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Accia Community Living LLC
4349 De Volis Pkwy, Madison, WI 53711-4819 · (571) 225-2443
-
State of Wisconsin
317 Knutson Dr, Madison, WI 53704-1133 · (608) 301-9200