CARLY BAKER NPI 1164739934

NPI Information

CARLY BAKER is a respite care and mental retardation and/or developmental disabilities respite care in West Salem, WI. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. CARLY BAKER NPI is 1164739934. The provider is registered as an organization entity type.

The provider's business location address is:

146 E TILSON ST.
WEST SALEM, WI
ZIP 54669-213
Phone: (608) 792-2646

The provider's authorized official is Carly Jean Baker .
The authorized official title is Lpn and has the following contact phone number (608) 792-2646.

The enumeration date for this NPI number is 9/1/2010 and was last updated on 9/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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