Healthcare Provider Details

I. General information

NPI: 1811560220
Provider Name (Legal Business Name): EPIC CARE ADULT DAY CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2021
Last Update Date: 07/22/2021
Certification Date: 07/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3532 W NORTH AVE
MILWAUKEE WI
53208-1414
US

IV. Provider business mailing address

3532 W NORTH AVE
MILWAUKEE WI
53208-1414
US

V. Phone/Fax

Practice location:
  • Phone: 262-822-6287
  • Fax:
Mailing address:
  • Phone: 414-897-7334
  • Fax: 414-988-6173

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: FELISHA EDWARDS
Title or Position: OWNER
Credential:
Phone: 262-822-6287