OrganizationActive
St. Coletta of Wisconsin, Inc.
NPI 1295113587 · Adult Day Care Clinic/Center · Jefferson, WI
Provider details
- NPI number
- 1295113587
- Entity type
- Organization
- Primary specialty
- Adult Day Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Schmidt, Director of Day Programs & Services(920) 674-8219
- License
- PROVISIONAL CERTIFIC (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Agencies
- Home Health Agency251E00000X
Agencies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense 199800003C (IL)
Residential Treatment Facilities
Practice location
N4637 County Road Y
Jefferson, WI 53549-9720
Phone: (920) 674-4330
Fax: (920) 674-8422
Approximate (ZIP-level) locationGet directions
Mailing address
N4637 County Road Y
Jefferson, WI 53549-9720
Registry dates
- Enumerated
- 2015-05-07
- Last updated
- 2024-10-08
- Certified
- 2024-10-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.