Healthcare Provider Details

I. General information

NPI: 1336313956
Provider Name (Legal Business Name): PEPIN COUNTY AGING AND DISABILITY RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2008
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

740 7TH AVE W
DURAND WI
54736-1628
US

IV. Provider business mailing address

740 7TH AVE W
DURAND WI
54736-1628
US

V. Phone/Fax

Practice location:
  • Phone: 715-672-7242
  • Fax:
Mailing address:
  • Phone: 715-672-7242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: LISA SCHUH
Title or Position: ACCOUNTING SPECIALIST
Credential:
Phone: 715-672-8704