Organization
HOLIDAY HOUSE OF MANITOWOC COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS E KEIL (EXECUTIVE DIRECTOR)
(920) 682-4663
Entity
Organization
Contact information
Practice address
2818 MEADOW LN, MANITOWOC, WI 54220-3739
(920) 682-4663
(920) 682-1091
Mailing address
PO BOX 579, MANITOWOC, WI 54221-0579
(920) 682-4663
(920) 682-1091
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/31/2014
Last updated
10/31/2014
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