Pamela Mary Pennycooke
Pamela Mary Pennycooke is an Adult Care Home Facility in Fort Atkinson, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2024
Practice location Address checks out
105 Hilltop Trl EFort Atkinson, WI 53538-2605
Phone: (920) 691-6595
Show map & directions
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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 (WI) |
|---|
Record details
| NPI number | 1255150041 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 8, 2024 |
| Last updated in NPPES | October 8, 2024 |
| Certification date | October 8, 2024 |