Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Farah A Iimie

Individual provider Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1164301461

Farah A Iimie is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Plover, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2025

Practice location Address checks out

3331 Bridlewood Dr
Plover, WI 54467-3867
Phone: (920) 714-6988
Show map & directions

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 9239202500 (WI)

Record details

NPI number1164301461
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 29, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025