IndividualActive
Renee Coleman
NPI 1114172954 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Rice Lake, WI
Provider details
- NPI number
- 1114172954
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
1971 21 15/16 St
Rice Lake, WI 54868-8583
Phone: (715) 234-2122
Fax: (715) 234-2122
Approximate (ZIP-level) locationGet directions
Mailing address
1971 Country Aire Drive
Rice Lake, WI 54868
Registry dates
- Enumerated
- 2008-11-20
- Last updated
- 2008-11-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.