Organization
ARIDAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AREANNA BENNETT (MEMBER)
(906) 250-0956
Entity
Organization
Contact information
Practice address
2032 DREAMFIELD LN, MENASHA, WI 54952-9478
(906) 250-0956
Mailing address
2032 DREAMFIELD LN, MENASHA, WI 54952-9478
(906) 250-0956
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
12/22/2021
Last updated
07/09/2022
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