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Organization
REM WISCONSIN III, INC.
Active
Organization
REM WISCONSIN III, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
2005 W BELTLINE HWY, SUITE 203, MADISON, WI 53713-2314
(608) 276-1191
(608) 276-1184
Mailing address
2005 W BELTLINE HWY, SUITE 203, MADISON, WI 53713-2314
(608) 276-1191
(608) 276-1184
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
02/19/2009
Last updated
04/22/2023
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