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Alyssa Jane Revolinski
Child Mental Illness Respite Care in Waterford, Wisconsin
NPI 1649755695

Alyssa Jane Revolinski is a Child Mental Illness Respite Care based in Burlington, WI and is specialized in Respite Care, Mental Illness, Child. Alyssa Jane Revolinski practices in Waterford, WI. The NPI Number for Alyssa Jane Revolinski is 1649755695 and holds a License No. (Wisconsin).

The current practice location address for Alyssa Jane Revolinski is 269435 S Elm Lane, Waterford, WI and can be reached out via phone at 262-210-0272.

Location: 269435 S Elm Lane, Waterford, WI, 53105-6703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649755695
Provider Name
Alyssa Jane Revolinski
Credential
Provider Entity Type
Individual
Gender
Female
Address
269435 S Elm Lane, Waterford, WI, 53105-6703
Phone Number
262-210-0272
Fax Number
Provider Enumeration Date
09/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
269435 S Elm Lane
City
Waterford
State
Wisconsin
Zip
53185
Phone Number
262-210-0272
Fax Number
person
Provider Business Mailing Address Details
Address
269435 S Elm Lane
City
Waterford
State
Wisconsin
Zip
53185
Phone Number
262-210-0272
Fax Number
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Mental Illness, Child
Taxonomy
385HR2055X
License No.
()
Definition
A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental illness, as respite for the regular caregivers.
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