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County Of Grant - Orchard Manor Fdd
Intellectual Disabilities Intermediate Care Facility in Lancaster, Wisconsin
NPI 1265429278

County Of Grant - Orchard Manor Fdd is a Intellectual Disabilities Intermediate Care Facility based in Lancaster, WI. County Of Grant - Orchard Manor Fdd practices in Lancaster, WI. The NPI Number for County Of Grant - Orchard Manor Fdd is 1265429278 and holds a License No. 3109 (Wisconsin).

The current practice location address for County Of Grant - Orchard Manor Fdd is 8800 Hwy 61, Lancaster, WI and can be reached out via phone at 608-723-2113 and via fax at 608-723-2210.

Location: 8800 Hwy 61, Lancaster, WI, 53813-9306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265429278
Provider Name
County Of Grant - Orchard Manor Fdd
Credential
Provider Entity Type
Organization
Address
8800 Hwy 61, Lancaster, WI, 53813-9306
Phone Number
608-723-2113
Fax Number
608-723-2210
Provider Enumeration Date
10/04/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0834840001 01 DMERC
21050300 05 WI
institution
Provider Business Practice Location Address Details
Address
8800 Hwy 61
City
Lancaster
State
Wisconsin
Zip
53813-9306
Phone Number
608-723-2113
Fax Number
608-723-2210
person
Provider Business Mailing Address Details
Address
8800 Hwy 61
City
Lancaster
State
Wisconsin
Zip
53813-9306
Phone Number
608-723-2113
Fax Number
608-723-2210
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
3109 (Wisconsin)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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