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County Of Shawano
Intellectual Disabilities Intermediate Care Facility in Shawano, Wisconsin
NPI 1720088495

County Of Shawano is a Intellectual Disabilities Intermediate Care Facility based in Shawano, WI. County Of Shawano practices in Shawano, WI. The NPI Number for County Of Shawano is 1720088495 and holds a License No. 2994 (Wisconsin).

The current practice location address for County Of Shawano is N4231 State Highway 22, Shawano, WI and can be reached out via phone at 715-526-3158 and via fax at 715-526-6823.

Location: N4231 State Highway 22, Shawano, WI, 54166-6130
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720088495
Provider Name
County Of Shawano
Credential
Provider Entity Type
Organization
Address
N4231 State Highway 22, Shawano, WI, 54166-6130
Phone Number
715-526-3158
Fax Number
715-526-6823
Provider Enumeration Date
07/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
21051100 05 WI
institution
Provider Business Practice Location Address Details
Address
N4231 State Highway 22
City
Shawano
State
Wisconsin
Zip
54166-6130
Phone Number
715-526-3158
Fax Number
715-526-6823
person
Provider Business Mailing Address Details
Address
N4231 State Highway 22
City
Shawano
State
Wisconsin
Zip
54166-6130
Phone Number
715-526-3158
Fax Number
715-526-6823
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
2994 (Wisconsin)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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