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State of Wisconsin — NPI 1336324946, Madison, WI | NPI Central

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NPI 1336324946

OrganizationActive

State of Wisconsin

NPI 1336324946 · Intellectual Disabilities Intermediate Care Facility · Madison, WI

Provider details

NPI number: 1336324946
Entity type: Organization
Primary specialty: Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
Parent organization: Central Wisconsin Center
Organization subpart: Yes
Authorized official: Kimberly Coplien, Director of Rehabilitation Services(608) 301-9382

Specialties & taxonomies

Intellectual Disabilities Intermediate Care FacilityPrimary315P00000X
Nursing & Custodial Care Facilities

Practice location

317 Knutson Dr

Madison, WI 53704-1133

Phone: (608) 301-9382

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

317 Knutson Dr

Madison, WI 53704-1133

Other names (DBA / former)

Doing business as: Rehabiliation Services

Registry dates

Enumerated: 2008-01-02
Last updated: 2016-01-26

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.