Search › Wisconsin › Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
John Blake
NPI 1134924475 · on the registry since 2025 · sole proprietor
Practice
- Address
- 50 Pearl Ave Ste 102
Oshkosh, WI 54901 - Phone
- (414) 345-7781
- Fax
- (866) 496-2680
- Organisation at this address
- Safe Ride Llc
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 2323 Lake Club Dr Ste 301, Columbus, OH
Registry record
- Primary taxonomy
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-02-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin