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1578809612
LE'DOVE AFH LLC
RACINE, WI
NPI
1578809612
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Entity Type
Organization
Authorized Contact
ETHEL LEE LOCKRIDGE
Owner
262-639-3253
Organization Subpart ?
Yes
Primary Taxonomy
311ZA0620X Custodial Care Facility, Adult Care Home
Enumeration Date
2012-12-18
Last Update Date
2012-12-18
Business Address
LE'DOVE AFH LLC
724 MONTICELLO DR
RACINE, WI 53402-3006
Phone number: 262-639-3253
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Mailing Address
LE'DOVE AFH LLC
724 MONTICELLO DR
RACINE, WI 53402-3006
Phone number: 262-639-3253
Copy
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