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Tcby,llc
Physical Disabilities Residential Treatment Facility in Hartford, Wisconsin
NPI 1679920649

Tcby,llc is a Physical Disabilities Residential Treatment Facility based in Hartford, WI. Tcby,llc practices in Hartford, WI. The NPI Number for Tcby,llc is 1679920649 and holds a License No. 257126 (Wisconsin).

The current practice location address for Tcby,llc is 528 Violet Ave, Hartford, WI and can be reached out via phone at 414-349-7564 and via fax at 262-673-0229.

Location: 528 Violet Ave, Hartford, WI, 53027-1087
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679920649
Provider Name
Tcby,llc
Credential
Provider Entity Type
Organization
Address
528 Violet Ave, Hartford, WI, 53027-1087
Phone Number
414-349-7564
Fax Number
262-673-0229
Provider Enumeration Date
05/19/2016
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1134338882 05 WI
institution
Provider Business Practice Location Address Details
Address
528 Violet Ave
City
Hartford
State
Wisconsin
Zip
53027-1087
Phone Number
414-349-7564
Fax Number
262-673-0229
person
Provider Business Mailing Address Details
Address
528 Violet Ave
City
Hartford
State
Wisconsin
Zip
53027-1087
Phone Number
414-349-7564
Fax Number
262-673-0229
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
257126 (Wisconsin)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
257126 (Wisconsin)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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