Organization
PETERSEN HEALTH CARE OF WI, INC.
Active
Other names
Horizons Unlimited
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRY L FRIESE NHA (PRESIDENT/CEO)
(715) 365-6900
Entity
Organization
Contact information
Practice address
902 BOYCE DR, RHINELANDER, WI 54501-3835
(715) 365-6818
(715) 365-6770
Mailing address
902 BOYCE DRIVE, P.O. BOX 857, RHINELANDER, WI 54501-0857
(715) 365-6818
(715) 365-6770
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
2752
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20114900
—
WI
Enumeration date
09/15/2005
Last updated
08/22/2020
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