Individual provider · Type 1 NPI
Eric Gerald Phelps
Adult Care Home Facility · Cornell, WI
NPI number
1003583238
Active
Practice location
104 N 11th St
Cornell, WI 54732-8106
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1003583238
Eric Gerald Phelps's National Provider Identifier is 1003583238, issued on Aug 25, 2021. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Cornell, WI. The record was last updated on Aug 25, 2021.