OrganizationActive
Headwaters, Inc.
NPI 1649547183 · Child Intellectual and/or Developmental Disabilities Respite Care · Rhinelander, WI
Provider details
- NPI number
- 1649547183
- Entity type
- Organization
- Primary specialty
- Child Intellectual and/or Developmental Disabilities Respite CareRespite Care Facility
- Authorized official
- Mary Hardtke, Director
Practice location
1441 E Timber Dr
Rhinelander, WI 54501-2887
Phone: (715) 369-1337
Fax: (715) 369-1793
Mailing address
Po Box 618
Rhinelander, WI 54501-0618
Registry dates
- Enumerated
- 2011-11-29
- Last updated
- 2011-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.