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Mystic Creek, Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Viola, Wisconsin
NPI 1356700025

Mystic Creek, Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Richland Center, WI. Mystic Creek, Llc practices in Viola, WI. The NPI Number for Mystic Creek, Llc is 1356700025 and holds a License No. (Wisconsin).

The current practice location address for Mystic Creek, Llc 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
institution
Provider Profile Details
NPI Number
1356700025
Provider Name
Mystic Creek, Llc
Credential
Provider Entity Type
Organization
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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