Organization Name: | RICHLAND COUNTY CARE, LLC |
NPI Number: | 1124424296 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY E. KEPLER (OWNER/OPERATOR) |
Mailing Address: | 1062 Oak Forest Dr Suite 160 Onalaska |
State: | WI US |
Postal Code: | 546503489 |
Phone Number: | 6085192306 |
Fax Number: | 6085192307 |
NPI Enumeration Date: | 11/17/2014 |
NPI Last Update Date: | 11/26/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |