ROOTS RESIDENTIAL ADULT FAMILY HOMES LLC

RACINE, WI
NPI1841644481
Entity TypeOrganization
Authorized ContactJERODD TAYLOR
Owner
262-880-5606
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
(Licence: WI  0016022)
Enumeration Date2016-04-20
Last Update Date2016-04-20
Business Address
ROOTS RESIDENTIAL ADULT FAMILY HOMES LLC
1715 LASALLE ST
RACINE, WI 53402-4824
Phone number: 262-902-3442
Mailing Address
ROOTS RESIDENTIAL ADULT FAMILY HOMES LLC
6210 BLUE RIVER WAY
RACINE, WI 53402-9448
Phone number: 262-880-5606
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