ERIC PHELPS
Custodial Care Facility - Adult Care Home
Active
Individual
NPI: 1003583238
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Custodial Care Facility - Adult Care Home | 311ZA0620X | Yes | - |
Frequently Asked Questions
NPI 1003583238 is the National Provider Identifier for ERIC PHELPS, a Custodial Care Facility - Adult Care Home provider located in Cornell, WI. This NPI was enumerated on August 25, 2021.
ERIC PHELPS practices at 104 N 11TH ST, Cornell, WI 54732.
Quick Facts
- NPI
- 1003583238
- Type
- Individual
- Enumerated
- Aug 25, 2021
- Last Updated
- Aug 25, 2021
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