Southern Wi Ctr FDD
Intermediate care facility for individuals with intellectual disabilities in Union Grove, WI, Medicare certification number 52G024.
Medicare certification
Provider of Services- CCN
- 52G024
- Status
- Active
- Provider type
- Intermediate care facility for individuals with intellectual disabilities
- Control type
- State
- Participating since
- Apr 1, 1983
- Last certification
- Jul 10, 2024
- Beds
- 130
- Most recent change of ownership
- Apr 20, 2017
- Address
- 21425 Spring St
Union Grove, WI 53182
(262) 878-2411
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Southern Wisconsin Center
- Intellectual Disabilities Intermediate Care Facility
- Union Grove, WI
- NPI 1043326747
Name & address match
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.