Healthcare Provider Details

I. General information

NPI: 1649846940
Provider Name (Legal Business Name): THEN AND NOW ADULT DAY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2021
Last Update Date: 05/28/2021
Certification Date: 05/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6417 NORMANDY LN STE 100
MADISON WI
53719-1169
US

IV. Provider business mailing address

6417 NORMANDY LN STE 100
MADISON WI
53719-1169
US

V. Phone/Fax

Practice location:
  • Phone: 608-690-7440
  • Fax:
Mailing address:
  • Phone: 608-690-7440
  • 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: WHITNEY RANDALL FOWLER
Title or Position: DIRECTOR/OWNER
Credential: BS
Phone: 608-690-7440