Eric Gerald Phelps
Eric Gerald Phelps is an Adult Care Home Facility in Cornell, Wisconsin. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
104 N 11th StCornell, WI 54732-8106
Phone: (715) 202-3586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X |
|---|
Record details
| NPI number | 1003583238 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 25, 2021 |
| Last updated in NPPES | August 25, 2021 |
| Certification date | August 25, 2021 |
| Mailing address | 104 N 11th St, Cornell, WI 54732-8106 |