OrganizationActive
State of Wisconsin
NPI 1235225616 · Intellectual Disabilities Intermediate Care Facility · Chippewa Falls, WI
Provider details
- NPI number
- 1235225616
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Authorized official
- Craig Koehler, Director
- License
- 2753 (WI)
Practice location
2820 East Park Avenue
Chippewa Falls, WI 54729-0340
Phone: (715) 723-7957
Mailing address
2820 East Park Avenue
Chippewa Falls, WI 54729-0340
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2025-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.