Healthcare Provider Details

I. General information

NPI: 1578473997
Provider Name (Legal Business Name): VERNON AREA REHABILITATION CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 N CASALOMA DR
APPLETON WI
54913-8215
US

IV. Provider business mailing address

2350 N CASALOMA DR
APPLETON WI
54913-8215
US

V. Phone/Fax

Practice location:
  • Phone: 920-882-2800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DENISE MAVES-LESSELYOUNG
Title or Position: CONTROLLER
Credential:
Phone: 920-882-2830