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Diane Cook
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Viola, Wisconsin
NPI 1093174765

Diane Cook is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Richland Center, WI. Diane Cook practices in Viola, WI. The NPI Number for Diane Cook is 1093174765 and holds a License No. (Wisconsin).

The current practice location address for Diane Cook is 12489 State Highway 56, Viola, WI and can be reached out via phone at 608-538-3781 and via fax at 608-538-3782.

Location: 12489 State Highway 56, Viola, WI, 53581-8588
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093174765
Provider Name
Diane Cook
Credential
Provider Entity Type
Individual
Gender
Female
Address
12489 State Highway 56, Viola, WI, 53581-8588
Phone Number
608-538-3781
Fax Number
608-538-3782
Provider Enumeration Date
02/23/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12489 State Highway 56
City
Viola
State
Wisconsin
Zip
54664-8914
Phone Number
608-538-3781
Fax Number
608-538-3782
person
Provider Business Mailing Address Details
Address
12489 State Highway 56
City
Viola
State
Wisconsin
Zip
54664-8914
Phone Number
608-538-3781
Fax Number
608-538-3782
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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