Dolphin Manor Adult Day Program
Organization Active NPI Case Management Agency · Kansasville, WI
NPI 1407229396 · NPPES record last updated Nov 2, 2015
Key facts
- NPI
- 1407229396
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Case Management Agency 251B00000X
- Legal business name
- DOLPHIN MANOR ADULT DAY PROGRAM
- Practice address
- 21404 Washington Ave
Kansasville, WI 53139-9737 - Phone
- (262) 895-6666
- Fax
- (262) 895-7091
- NPI assigned
- Nov 2, 2015
- Organization subpart
- No
Authorized official
- Name
- Mrs. Melinda J Dolphin
- Title
- Administrator
- Phone
- (262) 895-6666
Practitioners 2
-
Lynn Ellen Erickson-Meier, NBS-HIS #623
-
Isaac J Trejo, D.P.M.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | WI | Yes |
Addresses
Primary practice location
21404 Washington Ave
Kansasville, WI 53139-9737
Mailing address
4525 Gunderson Rd
Waterford, WI 53185-3711
Phone (262) 895-6666
Other providers in Kansasville, WI
- Jennifer Brau
- Brighton School District #1
- Dover 1 Kansasville Grade School
- James Cares LLC
- Jessica Ann Kitscha
- Kaitlyn Neubecker
- Eileen Snider
All providers in Kansasville, WI · Case Management Agency in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.