Individual provider · Type 1 NPI

Ellen Igl

Adult Day Care Clinic/Center · Beaver Dam, WI

NPI number 1609289214 Active

Practice location

N8053 Hwy 33
Beaver Dam, WI 53916-9762

Specialties and licenses

TaxonomyCodeLicense
Adult Day Care Clinic/Center Primary 261QA0600XNone listed

Adult Day Care Clinic/Center: Definition to come...

About NPI 1609289214

Ellen Igl's National Provider Identifier is 1609289214, issued on Jun 11, 2014. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Beaver Dam, WI. The record was last updated on Jun 11, 2014.