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St. Coletta Of Wisconsin, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jefferson, Wisconsin
NPI 1295113587

St. Coletta Of Wisconsin, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jefferson, WI. St. Coletta Of Wisconsin, Inc. practices in Jefferson, WI. The NPI Number for St. Coletta Of Wisconsin, Inc. is 1295113587 and holds a License No. PROVISIONAL CERTIFIC (Wisconsin).

The current practice location address for St. Coletta Of Wisconsin, Inc. is N4637 County Road Y, Jefferson, WI and can be reached out via phone at 920-674-4330 and via fax at 920-674-8422.

Location: N4637 County Road Y, Jefferson, WI, 53549-9720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1295113587
Provider Name
St. Coletta Of Wisconsin, Inc.
Credential
Provider Entity Type
Organization
Address
N4637 County Road Y, Jefferson, WI, 53549-9720
Phone Number
920-674-4330
Fax Number
920-674-8422
Provider Enumeration Date
05/07/2015
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
N4637 County Road Y
City
Jefferson
State
Wisconsin
Zip
53549-9720
Phone Number
920-674-4330
Fax Number
920-674-8422
person
Provider Business Mailing Address Details
Address
N4637 County Road Y
City
Jefferson
State
Wisconsin
Zip
53549-9720
Phone Number
920-674-4330
Fax Number
920-674-8422
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
199800003C (Illinois)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Day Care
Taxonomy
261QA0600X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
PROVISIONAL CERTIFIC (Illinois)
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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