Provider Demographics
NPI:1225286081
Name:LORI KNAPP RICHLAND, INC.
Entity Type:Organization
Organization Name:LORI KNAPP RICHLAND, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:B
Authorized Official - Last Name:KNAPP
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:608-326-5536
Mailing Address - Street 1:1140 SEXTONVILLE ROAD #5
Mailing Address - Street 2:
Mailing Address - City:RICHLAND CENTER
Mailing Address - State:WI
Mailing Address - Zip Code:53581
Mailing Address - Country:US
Mailing Address - Phone:608-647-5247
Mailing Address - Fax:608-647-5918
Practice Address - Street 1:1140 SEXTONVILLE ROAD #5
Practice Address - Street 2:
Practice Address - City:RICHLAND CENTER
Practice Address - State:WI
Practice Address - Zip Code:53581
Practice Address - Country:US
Practice Address - Phone:608-647-5247
Practice Address - Fax:608-647-5918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-05
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities