Organization
RASCALS RESORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISSY ANDREWS (SOLE BOARD MEMBER)
(608) 548-5006
Entity
Organization
Contact information
Practice address
29429 COUNTY HIGHWAY V, KENDALL, WI 54638-8518
(608) 463-7377
Mailing address
W10000 STATE ROAD 82, ELROY, WI 53929-9454
(608) 548-5006
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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