Willowglen Hein Foster Care Group Home in Plymouth - Residential Treatment Facility, Emotionally Disturbed Children

Willowglen Hein Foster Care Group Home - NPI 1457559262

Willowglen Hein Foster Care Group Home is a Residential Treatment Facility, Emotionally Disturbed Children in Plymouth, Wisconsin. Willowglen Hein Foster Care Group Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Willowglen Hein Foster Care Group Home is 1457559262. The last update date is 2020-08-22.

Willowglen Hein Foster Care Group Home's current location address is 207 Hein Ave, Plymouth, Wisconsin. You can contact this provider via phone number 9208935132. The mailing address for Willowglen Hein Foster Care Group Home is 207 Hein Ave, Plymouth, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Organization Willowglen Hein Foster Care Group Home
Address 207 Hein Ave, Plymouth, Wisconsin
Phone Number 9208935132
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR R
Authorized Official Name Singh Jaya
Credentials PH.D.
Telephone Number 4145276970

NPI Number Detail

NPI Number 1457559262
Provider Enumeration Date 2007-07-03
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 207 Hein Ave
City Plymouth
State Wisconsin (WI)
Post Code 530732526
Phone Number 9208935132
Fax Number

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Licence No 1005423
Definition:
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

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FAQs about Willowglen Hein Foster Care Group Home

What is the unique 10-digit identifier code assigned to Willowglen Hein Foster Care Group Home by the Centers for Medicare & Medicaid Services?

The Willowglen Hein Foster Care Group Home has been issued the NPI (National Provider Identifier) 1457559262 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Willowglen Hein Foster Care Group Home's facilities are situated?

The facilities of Willowglen Hein Foster Care Group Home are physically located at the following address: 207 Hein Ave, Plymouth, WI, 530732526.

What is Willowglen Hein Foster Care Group Home's specialized field of practice, and what is the corresponding taxonomy classification code?

The Willowglen Hein Foster Care Group Home's area of specialization is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this field of practice is 322D00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1457559262 to Willowglen Hein Foster Care Group Home?

The Centers for Medicare & Medicaid Services assigned the 1457559262 to Willowglen Hein Foster Care Group Home on 2007-07-03.

When was the Willowglen Hein Foster Care Group Home's information last updated?

The Willowglen Hein Foster Care Group Home's information was last updated on 2020-08-22.

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