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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERIC GERALD PHELPS

Active Sole Proprietor

ERIC GERALD PHELPS is a Assisted Living Facility healthcare provider located in CORNELL, Wisconsin. NPI 1003583238 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · CORNELL, WI

Registration Details

NPI Number
1003583238
Provider Type
Individual
Gender
Male
NPI Issued
Aug 25, 2021 (4.9876022686748 yrs)
Last Updated
Aug 25, 2021
Sole Proprietor
Yes

Practice Information

Address
104 N 11TH ST
CORNELL, WI, 547328106
Browse WI providers · Browse ZIP 54732
Phone
7152023586
Primary Specialty
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.