Healthcare Provider Details

I. General information

NPI: 1154271203
Provider Name (Legal Business Name): FREDONIA ADULT DAY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

508 FREDONIA AVE
FREDONIA WI
53021-9406
US

IV. Provider business mailing address

PO BOX 219 508 FREDONIA AVE
FREDONIA WI
53021-0219
US

V. Phone/Fax

Practice location:
  • Phone: 262-689-3088
  • Fax:
Mailing address:
  • Phone: 262-689-3088
  • 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: DEBORAH A PAAPE
Title or Position: OWNER
Credential:
Phone: 262-689-3088