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Colonial Club, Inc.
Voluntary or Charitable Agency in Sun Prairie, Wisconsin
NPI 1033659669

Colonial Club, Inc. is a Voluntary or Charitable Agency based in Sun Prairie, WI. Colonial Club, Inc. practices in Sun Prairie, WI. The NPI Number for Colonial Club, Inc. is 1033659669 and holds a License No. 265-800 (Wisconsin).

The current practice location address for Colonial Club, Inc. is 301 Blankenheim Ln, Sun Prairie, WI and can be reached out via phone at 608-837-4611 and via fax at 608-837-9302.

Location: 301 Blankenheim Ln, Sun Prairie, WI, 53590-2373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033659669
Provider Name
Colonial Club, Inc.
Credential
Provider Entity Type
Organization
Address
301 Blankenheim Ln, Sun Prairie, WI, 53590-2373
Phone Number
608-837-4611
Fax Number
608-837-9302
Provider Enumeration Date
03/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
301 Blankenheim Ln
City
Sun Prairie
State
Wisconsin
Zip
53590-2373
Phone Number
608-837-4611
Fax Number
608-837-9302
person
Provider Business Mailing Address Details
Address
301 Blankenheim Ln
City
Sun Prairie
State
Wisconsin
Zip
53590-2373
Phone Number
608-837-4611
Fax Number
608-837-9302
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
251V00000X
License No.
265-800 (Wisconsin)
Definition
Definition to come...
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