Ablelight Inc.
Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Watertown, WI
NPI 1417010604 · NPPES record last updated Jun 13, 2022
Key facts
- NPI
- 1417010604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
- Legal business name
- ABLELIGHT INC.
- Practice address
- 600 Hoffmann Dr
Watertown, WI 53094-6223 - Phone
- (920) 261-3050
- Fax
- (920) 261-8441
- NPI assigned
- Dec 18, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael Minning
- Title
- Director of Treasury
- Phone
- (920) 206-4459
Corporate family (same tax ID) 28
National Provider Directory
- Tax ID family
- Ablelight Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | IL | ||
| Intellectual Disabilities Intermediate Care Facility | 315P00000X | TX | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | WI | Yes | |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MI | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | OH | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | IN | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NJ | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | IL | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | MO | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | TX | ||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | FL |
Addresses
Primary practice location
600 Hoffmann Dr
Watertown, WI 53094-6223
Mailing address
600 Hoffmann Dr
Watertown, WI 53094-6223
Phone (920) 261-3050
Other providers in Watertown, WI
- Tahmina Aafreen
- Jeannie Kaye Adams
- Kathy R. Adkins
- Advanced Family Dentistry, S.C.
- Theresa Aftyka
- Elizabeth Sharon Albanese
All providers in Watertown, WI · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2022. 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.