OrganizationActive
Ablelight Inc.
NPI 1417010604 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Watertown, WI
Provider details
- NPI number
- 1417010604
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Michael Minning, Director of Treasury(920) 206-4459
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Practice location
600 Hoffmann Dr
Watertown, WI 53094-6223
Phone: (920) 261-3050
Fax: (920) 261-8441
Approximate (ZIP-level) locationGet directions
Mailing address
600 Hoffmann Dr
Watertown, WI 53094-6223
Registry dates
- Enumerated
- 2006-12-18
- Last updated
- 2022-06-13
- Certified
- 2022-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.