Healthcare Provider Details

I. General information

NPI: 1366020620
Provider Name (Legal Business Name): WALKER ADULT DAY HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2021
Last Update Date: 03/30/2021
Certification Date: 03/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6835 CRANBERRY BOG TRL NW
WALKER MN
56484-3400
US

IV. Provider business mailing address

PO BOX 1465
WALKER MN
56484-1465
US

V. Phone/Fax

Practice location:
  • Phone: 218-547-1242
  • Fax:
Mailing address:
  • Phone: 218-547-1242
  • Fax: 218-547-4005

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: APRIL HUGHES COLLMAN
Title or Position: TREASURER
Credential:
Phone: 218-547-1242