Organization
CECE'S STONE VILLA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M VER VELDE (OWNER/DIRECTOR)
(920) 901-7186
Entity
Organization
Contact information
Practice address
7312 SHIRCEL RD, SHEBOYGAN, WI 53081-8842
(920) 452-0556
(920) 452-0558
Mailing address
7312 SHIRCEL RD, SHEBOYGAN, WI 53081-8842
(920) 452-0556
(920) 452-0558
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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