institution
Evergreen Pines Inc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Berlin, Wisconsin
NPI 1851721344

Evergreen Pines Inc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Sparta, WI. Evergreen Pines Inc practices in Berlin, WI. The NPI Number for Evergreen Pines Inc is 1851721344 and holds a License No. 14846 (Wisconsin).

The current practice location address for Evergreen Pines Inc is 343 E Cumberland St, Berlin, WI and can be reached out via phone at 920-290-3305.

Location: 343 E Cumberland St, Berlin, WI, 54656-0506
institution
Provider Profile Details
NPI Number
1851721344
Provider Name
Evergreen Pines Inc
Credential
Provider Entity Type
Organization
Address
343 E Cumberland St, Berlin, WI, 54656-0506
Phone Number
920-290-3305
Fax Number
Provider Enumeration Date
11/19/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
343 E Cumberland St
City
State
Zip
54923-1206
Phone Number
920-290-3305
Fax Number
person
Provider Business Mailing Address Details
Address
343 E Cumberland St
City
State
Zip
54923-1206
Phone Number
920-290-3305
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
14846 (Wisconsin)
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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