Willowglen Academy-Wisconsin, Inc. in Plymouth - Residential Treatment Facility, Emotionally Disturbed Children
Willowglen Academy-Wisconsin, Inc. - NPI 1669670477
Willowglen Academy-Wisconsin, Inc. is a Residential Treatment Facility, Emotionally Disturbed Children in Plymouth, Wisconsin. Willowglen Academy-Wisconsin, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Willowglen Academy-Wisconsin, Inc. is 1669670477. The last update date is 2008-06-25.
Willowglen Academy-Wisconsin, Inc.'s current location address is 1111 Reed St, Plymouth, Wisconsin. You can contact this provider via phone number 9205656004. The mailing address for Willowglen Academy-Wisconsin, Inc. is 1111 Reed St, Plymouth, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Willowglen Academy-Wisconsin, Inc. |
|---|---|
| Address | 1111 Reed St, Plymouth, Wisconsin |
| Phone Number | 9205656004 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR R |
|---|---|
| Authorized Official Name | Sandee Sara |
| Telephone Number | 4145276970 |
NPI Number Detail
| NPI Number | 1669670477 |
|---|---|
| Provider Enumeration Date | 2007-07-03 |
| Last Updated Date | 2008-06-25 |
Provider Mailing Address Detail
| Address | 1111 Reed St |
|---|---|
| City | Plymouth |
| State | Wisconsin (WI) |
| Post Code | 530732506 |
| Phone Number | 9205656004 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
| Licence No | 1001570 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identifier code issued to Willowglen Academy-Wisconsin, Inc. by the Centers for Medicare & Medicaid Services?
The Willowglen Academy-Wisconsin, Inc. has been assigned the NPI (National Provider Identifier) 1669670477 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Willowglen Academy-Wisconsin, Inc.'s facilities are situated?
The facilities of Willowglen Academy-Wisconsin, Inc. are physically located at the following address: 1111 Reed St, Plymouth, WI, 530732506.
What is Willowglen Academy-Wisconsin, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Willowglen Academy-Wisconsin, Inc. is Residential Treatment Facility, Emotionally Disturbed Children, and the taxonomy classification code that categorizes this area of expertise is 322D00000X.
On what date did Willowglen Academy-Wisconsin, Inc. receive its 1669670477 assignment from the Centers for Medicare & Medicaid Services?
The Willowglen Academy-Wisconsin, Inc. was assigned its 1669670477 on 2007-07-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Willowglen Academy-Wisconsin, Inc. most recently updated?
The details pertaining to the Willowglen Academy-Wisconsin, Inc., including its address, specialty, and other relevant information, were last refreshed on 2008-06-25.
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