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Sumac Residential Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Hudson, Wisconsin
NPI 1912214966

Sumac Residential Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Hudson, WI. Sumac Residential Llc practices in Hudson, WI. The NPI Number for Sumac Residential Llc is 1912214966 and holds a License No. (Wisconsin).

The current practice location address for Sumac Residential Llc is 723 B Blue Jay Lane, Hudson, WI and can be reached out via phone at 715-255-0466.

Location: 723 B Blue Jay Lane, Hudson, WI, 54016-7695
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912214966
Provider Name
Sumac Residential Llc
Credential
Provider Entity Type
Organization
Address
723 B Blue Jay Lane, Hudson, WI, 54016-7695
Phone Number
715-255-0466
Fax Number
Provider Enumeration Date
09/10/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
723 B Blue Jay Lane
City
Hudson
State
Wisconsin
Zip
54016
Phone Number
715-255-0466
Fax Number
person
Provider Business Mailing Address Details
Address
723 B Blue Jay Lane
City
Hudson
State
Wisconsin
Zip
54016
Phone Number
715-255-0466
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(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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