Organization
DOLPHIN MANOR ADULT DAY PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELINDA J DOLPHIN (ADMINISTRATOR)
(262) 895-6666
Entity
Organization
Contact information
Practice address
21404 WASHINGTON AVE, KANSASVILLE, WI 53139-9737
(262) 895-6666
(262) 895-7091
Mailing address
4525 GUNDERSON RD, WATERFORD, WI 53185-3711
(262) 895-6666
(262) 895-7091
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
WI
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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