OrganizationActive
Carly Baker
NPI 1164739934 · Child Intellectual and/or Developmental Disabilities Respite Care · West Salem, WI
Provider details
- NPI number
- 1164739934
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Organization subpart
- No
- Authorized official
- Carly Baker, LPN(608) 792-2646
- License
- 302971-031 (WI)
Specialties & taxonomies
- Child Intellectual and/or Developmental Disabilities Respite CarePrimary385HR2060XLicense 302971-031 (WI)
Respite Care Facility
Practice location
146 E Tilson St.
West Salem, WI 54669-1213
Phone: (608) 792-2646
Approximate (ZIP-level) locationGet directions
Mailing address
146 Tilson St E
West Salem, WI 54669-1213
Registry dates
- Enumerated
- 2010-09-01
- Last updated
- 2010-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.