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NPI 1649755695

IndividualActive

Alyssa Revolinski

NPI 1649755695 · Child Mental Illness Respite Care · Waterford, WI

Provider details

NPI number: 1649755695
Entity type: Individual
Primary specialty: Child Mental Illness Respite CareRespite Care Facility
Sex: Female
Sole proprietor: Yes

Practice location

269435 S Elm Lane

Waterford, WI 53185

Phone: (262) 210-0272

More WI providers

Mailing address

33633 Oak Knoll Rd

Burlington, WI 53105-6703

Registry dates

Enumerated: 2018-09-26
Last updated: 2018-09-26

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

Alyssa Revolinski — NPI 1649755695, Waterford, WI | NPI Central