FARAH IIMIE

Intellectual and/or Developmental Disabilities Residential Treatment Facility

NPI: 1164301461Individual

Specialties, Licenses & Credentials

Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Code: 320600000X

9239202500(WI)

Contact & Hours

Address: 3331 BRIDLEWOOD DR
PLOVER, WI 54467
Phone: (920) 714-6988

Quick Facts

NPI: 1164301461
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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