Organization
BEYOND ABILITIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL GUDWER (CFO)
(920) 826-6270
Entity
Organization
Contact information
Practice address
2839 E FRONTAGE RD, ABRAMS, WI 54101-9591
(920) 826-6270
Mailing address
PO BOX 169, ABRAMS, WI 54101-0169
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
12/24/2008
Last updated
12/24/2008
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