Jessica Riedy
Individual provider Active NPI Developmentally Disabled Services Day Training Agency · Pound, WI
NPI 1346088093 · NPPES record last updated Jul 17, 2024
Key facts
- NPI
- 1346088093
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Practice address
- N4470 19TH Rd
Pound, WI 54161-9409 - Phone
- (920) 591-0526
- NPI assigned
- Jul 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Adult Companion | 372600000X | |||
| Respite Care | 385H00000X | |||
| Child Physical Disabilities Respite Care | 385HR2065X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
N4470 19TH Rd
Pound, WI 54161-9409
Mailing address
N4470 19TH Rd
Pound, WI 54161-9409
Other providers in Pound, WI
- Northreach Healthcare, LLC
- Osterberg Chiropractic Office LLC
- Brian R Osterberg
- Pound Community Medical Clinic S.C.
- Pound PT Clinic LLC
- Allison Mary Rutten
- Peter A Sytsma
- Town of Brazeau
All providers in Pound, WI · Developmentally Disabled Services Day Training Agency in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.