Organization
ICARE ADULT DAY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN WIKMAN (CEO)
(928) 515-1011
Entity
Organization
Contact information
Practice address
213 N MARINA ST, PRESCOTT, AZ 86301-3105
(928) 515-1011
Mailing address
213 N MARINA ST, PRESCOTT, AZ 86301-3105
(928) 515-1011
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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