Provider Demographics
NPI:1083976575
Name:RICHLAND COUNTY CARE, LLC
Entity Type:Organization
Organization Name:RICHLAND COUNTY CARE, LLC
Other - Org Name:COULEE REGION ADULT DAY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:KEPLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-519-2306
Mailing Address - Street 1:1062 OAK FOREST DR STE 160
Mailing Address - Street 2:
Mailing Address - City:ONALASKA
Mailing Address - State:WI
Mailing Address - Zip Code:54650-3501
Mailing Address - Country:US
Mailing Address - Phone:608-519-2306
Mailing Address - Fax:608-519-2307
Practice Address - Street 1:1062 OAK FOREST DR STE 160
Practice Address - Street 2:
Practice Address - City:ONALASKA
Practice Address - State:WI
Practice Address - Zip Code:54650-3501
Practice Address - Country:US
Practice Address - Phone:608-519-2306
Practice Address - Fax:608-519-2307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care