Organization
PARK PLACE ADULT DAY SERVICES
Active
Organization
PARK PLACE ADULT DAY SERVICES
Active
Other names
PARK PLACE ADULT DAY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY BONNEY (ACCOUNTANT)
(715) 422-2795
Entity
Organization
Contact information
Practice address
220 3RD AVE S STE 2, WISCONSIN RAPIDS, WI 54495-2773
(715) 422-2795
Mailing address
220 3RD AVE S STE 2, WISCONSIN RAPIDS, WI 54495-2773
(715) 422-2795
(715) 422-2782
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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