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1134653843
SOMERS KENOSHA SENIOR LIVING, INC.
KENOSHA, WI
NPI
1134653843
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Entity Type
Organization
Authorized Contact
LEE JOHNSON
Treasurer
208-401-1369
Organization Subpart ?
No
Primary Taxonomy
310400000X Assisted Living Facility
Enumeration Date
2017-04-19
Last Update Date
2020-01-22
Business Address
SOMERS KENOSHA SENIOR LIVING, INC.
3109 12TH ST
KENOSHA, WI 53144-2915
Phone number: 262-553-1270
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Mailing Address
SOMERS KENOSHA SENIOR LIVING, INC.
3109 12TH ST
KENOSHA, WI 53144-2915
Phone number: 262-553-1270
Copy
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