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Lori Knapp Fond Du Lac, Inc
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fond Du Lac, Wisconsin
NPI 1679721435

Lori Knapp Fond Du Lac, Inc is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Fond Du Lac, WI. Lori Knapp Fond Du Lac, Inc practices in Fond Du Lac, WI. The NPI Number for Lori Knapp Fond Du Lac, Inc is 1679721435 and holds a License No. (Wisconsin).

The current practice location address for Lori Knapp Fond Du Lac, Inc is 625 Fond Du Lac Ave, Fond Du Lac, WI and can be reached out via phone at 920-907-0949 and via fax at 920-907-0961.

Location: 625 Fond Du Lac Ave, Fond Du Lac, WI, 54935
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679721435
Provider Name
Lori Knapp Fond Du Lac, Inc
Credential
Provider Entity Type
Organization
Address
625 Fond Du Lac Ave, Fond Du Lac, WI, 54935
Phone Number
920-907-0949
Fax Number
920-907-0961
Provider Enumeration Date
09/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
625 Fond Du Lac Ave
City
Fond Du Lac
State
Wisconsin
Zip
54935
Phone Number
920-907-0949
Fax Number
920-907-0961
person
Provider Business Mailing Address Details
Address
625 Fond Du Lac Ave
City
Fond Du Lac
State
Wisconsin
Zip
54935
Phone Number
920-907-0949
Fax Number
920-907-0961
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
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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