OrganizationActive
St. Coletta of Wisconsin
NPI 1871714543 · Intellectual Disabilities Intermediate Care Facility · Jefferson, WI
Provider details
- NPI number
- 1871714543
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- John Heindel, Vice President Financial Services(920) 674-8287
- License
- 1109 (WI)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
W4955 US Highway 18
Jefferson, WI 53549-9702
Phone: (920) 674-4330
Fax: (920) 674-8422
Approximate (ZIP-level) locationGet directions
Mailing address
W4955 US Highway 18
Jefferson, WI 53549-9702
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.