Organization
CROGHAN ADULT CARE FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY E KEPLER MS/P (OWNER)
(608) 475-0006
Entity
Organization
Contact information
Practice address
9837 MAIN STREET, CROGHAN, NY 13327
(315) 408-8973
Mailing address
1062 OAK FOREST DR, ONALASKA, WI 54650-3489
(608) 519-2306
(608) 519-2307
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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