Provider Demographics
NPI:1447733639
Name:WALKER ADULT DAY SERVICES
Entity Type:Organization
Organization Name:WALKER ADULT DAY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QUALITY ASSURANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-556-7004
Mailing Address - Street 1:PO BOX 1465
Mailing Address - Street 2:
Mailing Address - City:WALKER
Mailing Address - State:MN
Mailing Address - Zip Code:56484-1465
Mailing Address - Country:US
Mailing Address - Phone:218-547-1242
Mailing Address - Fax:
Practice Address - Street 1:6835 CRANBERRY BOG TRL NW
Practice Address - Street 2:
Practice Address - City:WALKER
Practice Address - State:MN
Practice Address - Zip Code:56484
Practice Address - Country:US
Practice Address - Phone:218-547-1242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care