Petersen Health Care Of Wi, Inc. in Rhinelander - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Petersen Health Care Of Wi, Inc. - NPI 1093700098
Petersen Health Care Of Wi, Inc. is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Rhinelander, Wisconsin. Petersen Health Care Of Wi, Inc. practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Petersen Health Care Of Wi, Inc. is 1093700098. The last update date is 2020-08-22.
Petersen Health Care Of Wi, Inc.'s current location address is 902 Boyce Drive, Rhinelander, Wisconsin. You can contact this provider via phone number 7153656818 and fax number 7153656770. The mailing address for Petersen Health Care Of Wi, Inc. is 902 Boyce Drive, Rhinelander, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Petersen Health Care Of Wi, Inc. |
|---|---|
| Address | 902 Boyce Drive, Rhinelander, Wisconsin |
| Phone Number | 7153656818 |
| Fax Number | 7153656770 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Friese L Terry |
| Credentials | NHA |
| Telephone Number | 7153656900 |
NPI Number Detail
| NPI Number | 1093700098 |
|---|---|
| Provider Enumeration Date | 2005-09-15 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 902 Boyce Drive |
|---|---|
| City | Rhinelander |
| State | Wisconsin (WI) |
| Post Code | 545010857 |
| Phone Number | 7153656818 |
| Fax Number | 7153656770 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | 2752 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20114900 | WI | -- |
Post Comment/ Review Below
What is the Petersen Health Care Of Wi, Inc.'s unique identification number?
The Petersen Health Care Of Wi, Inc. has been assigned the NPI (National Provider Identifier) Number 1093700098 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Petersen Health Care Of Wi, Inc. is geographically located?
The Petersen Health Care Of Wi, Inc. is physically situated at the following location: 902 Boyce Drive, Rhinelander, WI, 545010857.
What is Petersen Health Care Of Wi, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Petersen Health Care Of Wi, Inc.'s specialized field of practice is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320600000X.
On what date did the Petersen Health Care Of Wi, Inc. receive its 1093700098 assignment from the Centers for Medicare & Medicaid Services?
The Petersen Health Care Of Wi, Inc. was assigned its 1093700098 by the Centers for Medicare & Medicaid Services on 2005-09-15.
As of what date were the Petersen Health Care Of Wi, Inc.'s details last updated?
The information pertaining to the Petersen Health Care Of Wi, Inc., including its address, specialty, and other details, was most recently updated on 2020-08-22.