| Fasd Communitties Dba Aloha Community Platteville Llc | |
|
7296 Bunker Ridge Rd Platteville WI 53818 | |
| (715) 252-7059 | |
| Not Available |
| Full Name | Fasd Communitties Dba Aloha Community Platteville Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7296 Bunker Ridge Rd, Platteville, Wisconsin |
| Authorized Official Name and Position | James Douglas Klein (PROGRAM DIRECTOR) |
| Authorized Official Contact | 7152527059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fasd Communitties Dba Aloha Community Platteville Llc 7296 Bunker Ridge Rd Platteville WI 53818 Ph: (715) 252-7059 | Fasd Communitties Dba Aloha Community Platteville Llc 7296 Bunker Ridge Rd Platteville WI 53818 Ph: (715) 252-7059 |
| NPI Number | 1912419136 |
|---|---|
| Provider Enumeration Date | 10/27/2017 |
| Last Update Date | 10/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912419136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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