Organization
PRODUCTION FARM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY PATRICK MUSE SEYMOUR (CFO/MANAGING DIRECTOR)
(920) 305-6313
Entity
Organization
Contact information
Practice address
621 BROADWAY ST, SHEBOYGAN FALLS, WI 53085-1544
(920) 305-6313
Mailing address
2668 STONEGATE DR, SUAMICO, WI 54313-8123
(920) 288-1965
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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