Provider Demographics
NPI:1619232030
Name:BELL THERAPY, INC.
Entity Type:Organization
Organization Name:BELL THERAPY, INC.
Other - Org Name:HOWARDS GROVE GROUP HOME
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF RESIDENTIAL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:G
Authorized Official - Last Name:SANDEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-527-6940
Mailing Address - Street 1:W3151 STATE HIGHWAY 32
Mailing Address - Street 2:
Mailing Address - City:ELKHART LAKE
Mailing Address - State:WI
Mailing Address - Zip Code:53020-1740
Mailing Address - Country:US
Mailing Address - Phone:414-527-6940
Mailing Address - Fax:414-527-6941
Practice Address - Street 1:W3151 STATE HIGHWAY 32
Practice Address - Street 2:
Practice Address - City:ELKHART LAKE
Practice Address - State:WI
Practice Address - Zip Code:53020-1740
Practice Address - Country:US
Practice Address - Phone:414-527-6940
Practice Address - Fax:414-527-6941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-11
Last Update Date:2012-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities