Healthcare Provider Details

I. General information

NPI: 1851900898
Provider Name (Legal Business Name): ABUNDANT BLESSINGS DAY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/27/2020
Last Update Date: 07/27/2020
Certification Date: 07/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2308 RAYMOND AVE
FRANKSVILLE WI
53126-9746
US

IV. Provider business mailing address

2308 RAYMOND AVE
FRANKSVILLE WI
53126-9746
US

V. Phone/Fax

Practice location:
  • Phone: 262-880-5727
  • Fax:
Mailing address:
  • Phone: 262-880-5727
  • Fax:

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: NATHAN STROM
Title or Position: PRESIDENT
Credential:
Phone: 262-880-5727