Pamela Mary Pennycooke
NPI #1255150041 in Fort Atkinson, Wisconsin
Provider Information
- NPI Number
- 1255150041
- Entity Type
- Individual
- Name
- Pamela Mary Pennycooke
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Oct 8, 2024
- Last Updated
- Oct 8, 2024
Practice Location
- Address
- 105 HILLTOP TRL E
- City
- Fort Atkinson
- State
- Wisconsin
- ZIP Code
- 53538-2605
- Phone
- (920) 691-6595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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