Provider Demographics
NPI:1265082580
Name:ALL DAY ADULT CARE LLC
Entity type:Organization
Organization Name:ALL DAY ADULT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOBSON
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:262-326-2545
Mailing Address - Street 1:N4901 DAM RD
Mailing Address - Street 2:
Mailing Address - City:DELAVAN
Mailing Address - State:WI
Mailing Address - Zip Code:53115-2927
Mailing Address - Country:US
Mailing Address - Phone:262-326-2545
Mailing Address - Fax:262-317-9673
Practice Address - Street 1:N4901 DAM RD
Practice Address - Street 2:
Practice Address - City:DELAVAN
Practice Address - State:WI
Practice Address - Zip Code:53115-2927
Practice Address - Country:US
Practice Address - Phone:262-326-2545
Practice Address - Fax:262-317-9673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care