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“Mental Illness Community Based Residential Treatment Facility” (Sparta, WI)

Location: Sparta, WI
Taxonomy: Mental Illness Community Based Residential Treatment Facility.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1033447776 — EVERGREEN MANOR III, INC
Practice Location Address:
8429 IDYLLVIEW AVE
SPARTA WI
54656-3617
Practice Phone: 608-487-9067
1386972024 — EVERGREEN MANOR,INC.
Practice Location Address:
8429 IDYLLVIEW AVE
SPARTA WI
54656-3617
Practice Phone: 608-487-9067
1457689192 — EVERGREEN MANOR II
Practice Location Address:
8429 IDYLLVIEW AVE
SPARTA WI
54656-3617
Practice Phone: 608-487-9067
1972221752 — RBI CARING HEARTS LLC.
Practice Location Address:
402 S BLACK RIVER ST STE 105
SPARTA WI
54656-2043
Practice Phone: 608-269-0386

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