Organization
THE ARC OF FOND DU LAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A BOLTER (EXECUTIVE DIRECTOR)
(920) 923-3810
Entity
Organization
Contact information
Practice address
500 N PARK AVE, FOND DU LAC, WI 54935-1943
(920) 923-3810
(920) 923-3038
Mailing address
500 N PARK AVE, FOND DU LAC, WI 54935-1943
(920) 923-3810
(920) 923-3038
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
WI
Other
Enumeration date
08/26/2009
Last updated
09/15/2009
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