Provider Demographics
NPI:1518299353
Name:DOUBLE R AND ASSOC., INC
Entity Type:Organization
Organization Name:DOUBLE R AND ASSOC., INC
Other - Org Name:BLUFFVIEW MEADOWS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOWARD
Authorized Official - Middle Name:K
Authorized Official - Last Name:RICHARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-643-6910
Mailing Address - Street 1:S7559 USH 12
Mailing Address - Street 2:
Mailing Address - City:NORTH FREEDOM
Mailing Address - State:WI
Mailing Address - Zip Code:53951-9532
Mailing Address - Country:US
Mailing Address - Phone:608-643-6910
Mailing Address - Fax:608-643-8640
Practice Address - Street 1:S7559 US HIGHWAY 12
Practice Address - Street 2:
Practice Address - City:NORTH FREEDOM
Practice Address - State:WI
Practice Address - Zip Code:53951-9532
Practice Address - Country:US
Practice Address - Phone:608-643-6910
Practice Address - Fax:608-643-8640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility