person
Renee M Coleman
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Rice Lake, Wisconsin
NPI 1114172954

Renee M Coleman is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Rice Lake, WI. Renee M Coleman practices in Rice Lake, WI. The NPI Number for Renee M Coleman is 1114172954 and holds a License No. (Wisconsin).

The current practice location address for Renee M Coleman is 1971 21 15/16 St, Rice Lake, WI and can be reached out via phone at 715-234-2122 and via fax at 715-234-2122.

Location: 1971 21 15/16 St, Rice Lake, WI, 54868
person
Provider Profile Details
NPI Number
1114172954
Provider Name
Renee M Coleman
Credential
Provider Entity Type
Individual
Gender
Female
Address
1971 21 15/16 St, Rice Lake, WI, 54868
Phone Number
715-234-2122
Fax Number
715-234-2122
Provider Enumeration Date
11/20/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1971 21 15/16 St
City
State
Zip
54868-8583
Phone Number
715-234-2122
Fax Number
715-234-2122
person
Provider Business Mailing Address Details
Address
1971 21 15/16 St
City
State
Zip
54868-8583
Phone Number
715-234-2122
Fax Number
715-234-2122
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
()
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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