1588703078 STATE OF WISCONSIN
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Active
Basic Information
- Organization Name
- STATE OF WISCONSIN
- Enumeration Date
- February 5, 2007
- Last Update
- October 21, 2010
- Authorized Official
- MRS. JANICE HOLLING
CENTER DIRECTOR
Phone: (608) 301-9229
Practice Location
- Address
- 317 KNUTSON DR
MADISON, WI 537041133 - Phone
- (608) 301-1946
- Fax
- (608) 301-1871
Mailing Address
- Address
- 317 KNUTSON DR
MADISON, WI 537041133 - Phone
- (608) 301-1946
- Fax
- (608) 301-1871
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 1000-042 | WI | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5106770 | 01 | WI | NCPDP |
Frequently Asked Questions
What is STATE OF WISCONSIN's NPI number?
STATE OF WISCONSIN's NPI number is 1588703078.
Which doctor has NPI number 1588703078?
The doctor with NPI number 1588703078 is STATE OF WISCONSIN.
What is STATE OF WISCONSIN's practice address?
STATE OF WISCONSIN's practice address is 317 KNUTSON DR, MADISON, WI, 537041133.
Which doctor practices at 317 KNUTSON DR, MADISON, WI, 537041133?
STATE OF WISCONSIN practices at 317 KNUTSON DR, MADISON, WI, 537041133.
What is STATE OF WISCONSIN's phone number?
STATE OF WISCONSIN's phone number is (608) 301-1946.
Who is (608) 301-1946?
(608) 301-1946 is the phone number for STATE OF WISCONSIN.
What is STATE OF WISCONSIN's specialty?
STATE OF WISCONSIN's specialty is Intellectual and/or Developmental Disabilities Residential Treatment Facility.
What type of doctor is STATE OF WISCONSIN?
STATE OF WISCONSIN is a Intellectual and/or Developmental Disabilities Residential Treatment Facility.
Is STATE OF WISCONSIN a Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, STATE OF WISCONSIN is a Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is STATE OF WISCONSIN still practicing?
Yes, STATE OF WISCONSIN is currently practicing.
Is STATE OF WISCONSIN accepting new patients?
STATE OF WISCONSIN may be accepting new patients. Please call their office at (608) 301-1946 to inquire about availability.
Is NPI 1588703078 still active?
Yes, NPI 1588703078 is currently active.
Where does STATE OF WISCONSIN practice?
STATE OF WISCONSIN practices in MADISON, WI.