NPI | 1669260808 |
---|---|
Entity Type | Organization |
Authorized Contact | KAYLA CHARLENE VAN CLEVE Owner 715-902-0848 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
Additional Taxonomies | 251J00000X Nursing Care |
385H00000X Respite Care | |
Enumeration Date | 2025-04-28 |
Last Update Date | 2025-04-28 |