| Organization Name: | ENDEAVORS ADULT DEVELOPMENT CENTER |
| NPI Number: | 1831554609 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATHLEEN S CLARK (DIRECTOR) |
| Mailing Address: | 101 150th St Balsam Lake |
| State: | WI US |
| Postal Code: | 548108011 |
| Phone Number: | 7154858764 |
| Fax Number: | 7154858740 |
| NPI Enumeration Date: | 12/22/2015 |
| NPI Last Update Date: | 12/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |