Exodus Transitional Care Facility Inc.

LBN: Exodus Transitional Care Facility Inc.
Exodus Transitional Care Facility Inc. is an health care organization with primary practice located at 1421 Fond Du Lac Ave , Kewaskum WI 53040-9136. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Exodus Transitional Care Facility Inc. can be contacted via phone (626) 626-4166, or through Colwin, Cheryl E via phone (262) 626-4166.

Contact Information

Primary practice address
1421 Fond Du Lac Ave Kewaskum WI 53040-9136
Phone: (626) 626-4166
Fax: (262) 626-8431
Website:
Map and Directions
Authorized official contact:
Name: Colwin, Cheryl E
Phone: (262) 626-4166

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 2598 Wisconsin

Profile Details

NPI number 1710304878
LBN Legal business name Exodus Transitional Care Facility Inc.
DBA Doing business as
Authorized official Colwin, Cheryl E
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2014
Last updated Mar 12th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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