National Provider Identifier Database

CARLY BAKER
Respite Care, Intellectual and/or Developmental Disabilities

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.


Contact Information

CARLY BAKER
146 E TILSON ST.
WEST SALEM, WI54669-1213
Phone: 608-792-2646
Fax:
Website:
Specialty Taxonomy Code
* Respite Care, Intellectual and/or Developmental Disabilities 385HR2060X

* Indicates primary specialty

NPI Profile & details for CARLY BAKER

NPI Number 1164739934
Legal business name
LBN
CARLY BAKER
Authorized official CARLY BAKER - (LPN)
Entity Organization
Organization subpart No
Enumeration date 09/01/2010
Last updated 09/01/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 302971-031

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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