OrganizationActive
Lori Knapp Fond Du Lac, Inc
NPI 1679721435 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Fond Du Lac, WI
Provider details
- NPI number
- 1679721435
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Donald Knapp, Ceo(608) 326-5536
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
625 Fond Du Lac Ave
Fond Du Lac, WI 54935
Phone: (920) 907-0949
Fax: (920) 907-0961
Approximate (ZIP-level) locationGet directions
Mailing address
625 Fond Du Lac Ave
Fond Du Lac, WI 54935
Registry dates
- Enumerated
- 2008-09-05
- Last updated
- 2008-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.