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Petersen Health Care Of Wi, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Rhinelander, Wisconsin
NPI 1093700098

Petersen Health Care Of Wi, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Rhinelander, WI. Petersen Health Care Of Wi, Inc. practices in Rhinelander, WI. The NPI Number for Petersen Health Care Of Wi, Inc. is 1093700098 and holds a License No. 2752 (Wisconsin).

The current practice location address for Petersen Health Care Of Wi, Inc. is 902 Boyce Dr, Rhinelander, WI and can be reached out via phone at 715-365-6818 and via fax at 715-365-6770.

Location: 902 Boyce Dr, Rhinelander, WI, 54501-0857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093700098
Provider Name
Petersen Health Care Of Wi, Inc.
Credential
Provider Entity Type
Organization
Address
902 Boyce Dr, Rhinelander, WI, 54501-0857
Phone Number
715-365-6818
Fax Number
715-365-6770
Provider Enumeration Date
09/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20114900 05 WI
institution
Provider Business Practice Location Address Details
Address
902 Boyce Dr
City
Rhinelander
State
Wisconsin
Zip
54501-3835
Phone Number
715-365-6818
Fax Number
715-365-6770
person
Provider Business Mailing Address Details
Address
902 Boyce Dr
City
Rhinelander
State
Wisconsin
Zip
54501-3835
Phone Number
715-365-6818
Fax Number
715-365-6770
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
2752 (Wisconsin)
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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