Organization
HYLAND PARK COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN SIMONSON (PROPERTY MANAGER)
(608) 318-1180
Entity
Organization
Contact information
Practice address
5440 CADDIS BND, FITCHBURG, WI 53711-7105
(608) 270-9200
Mailing address
5440 CADDIS BND, FITCHBURG, WI 53711-7105
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
0013255
WI
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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