OrganizationActive
Gloria Aweke
NPI 1245502053 · Physical Disabilities Residential Treatment Facility · Sun Prairie, WI
Provider details
- NPI number
- 1245502053
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Gloria Aweke, RN(608) 834-1473
- License
- 167973-30 (WI)
Specialties & taxonomies
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Residential Treatment Facility320600000XLicense 167973-30 (WI)
Residential Treatment Facilities
Practice location
1111 Gas Light Dr
Sun Prairie, WI 53590-3459
Phone: (608) 834-1473
Approximate (ZIP-level) locationGet directions
Mailing address
1111 Gas Light Dr
Sun Prairie, WI 53590-3459
Registry dates
- Enumerated
- 2012-02-08
- Last updated
- 2012-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.