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NPI Code Detail

MEDICARE: MAUDIE'S PLACE

MEDICARE: MAUDIE'S PLACE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA0600XAdult Day Care Clinic/Center
2373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1487526521
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAUDIE'S PLACE
Provider Business Mailing Address
First Line : 2925 RAPIDS DR
Second Line :
City : RACINE
State : WI
Zip : 53404-1622
Country : US
Telephone Number : 414-628-3433
Fax Number : 414-755-0646
Provider Business Practice Location Address
First Line : 2925 RAPIDS DR
Second Line :
City : RACINE
State : WI
Zip : 53404-1622
Country : US
Telephone Number : 414-628-3433
Fax Number : 414-755-0646
Authorized Official
Title or Position : OWNER
Name : CHERYL A NORAH
Credential :
Telephone Number : 414-628-3433
Provider Enumeration Date : 09/18/2025
Last Update Date : 11/21/2025

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Directions to “MAUDIE'S PLACE ” Practice Location

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