| Organization Name: | THE ARC OF FOND DU LAC INC |
| NPI Number: | 1003078247 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN P KIRSCHNER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 500 N Park Ave Fond Du Lac |
| State: | WI US |
| Postal Code: | 549351943 |
| Phone Number: | 9209233810 |
| Fax Number: | 9209233038 |
| NPI Enumeration Date: | 06/30/2008 |
| NPI Last Update Date: | 06/30/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347C00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Private Vehicle |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |