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Organization
WILLOWGLEN HEIN FOSTER CARE GROUP HOME
Active
Organization
WILLOWGLEN HEIN FOSTER CARE GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYA SINGH PH.D. (DIRECTOR RESIDENTIAL SERVICES)
(414) 527-6970
Entity
Organization
Contact information
Practice address
207 HEIN AVE, PLYMOUTH, WI 53073-2526
(920) 893-5132
Mailing address
207 HEIN AVE, PLYMOUTH, WI 53073-2526
(920) 893-5132
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
1005423
WI
Other
Enumeration date
07/03/2007
Last updated
08/22/2020
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