Berlin Pines, Inc
Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Berlin, WI
NPI 1679913487 · NPPES record last updated Jun 26, 2013
Key facts
- NPI
- 1679913487
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
- License
- 0014624 (WI)
- Legal business name
- BERLIN PINES, INC
- Practice address
- 642 Broadway
Berlin, WI 54923-1302 - Phone
- (920) 290-3090
- Fax
- (920) 290-3090
- NPI assigned
- Jun 26, 2013
- Organization subpart
- No
Authorized official
- Name
- Keri M Haywood
- Title
- Owner
- Phone
- (920) 229-3664
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 0014624 | WI | Yes |
Addresses
Primary practice location
642 Broadway
Berlin, WI 54923-1302
Mailing address
PO Box 506
Sparta, WI 54656-0506
Phone (920) 229-3664
Other providers in Berlin, WI
- Allison Marie Behnke
- William Donald Bergthold
- Berlin Area School District
- Berlin Family Eye Care SC
- Berlin Memorial Hospital
- Steven C Blaha
- Katherine Borkovec
- Todd M. Bradshaw
- Jessica M Braun
- Robert David Brooks
All providers in Berlin, WI · Intellectual and/or Developmental Disabilities 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 26, 2013. 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.