# PRICELESS TIME ADULT FAMILY HOME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114749082
- **Authorized official:** LUCY LEDAWN BURGESS (CEO)
- **Authorized official phone:** (262) 598-4562

## Contact information

- **Practice address:** 1819 BLAKE AVE, RACINE, WI 53404-2317
- **Practice address phone:** (262) 598-4562
- **Practice address fax:** (262) 995-7377
- **Mailing address:** PO BOX 85157, RACINE, WI 53408-5157
- **Mailing address phone:** (262) 598-4562
- **Mailing address fax:** (262) 995-7377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/30/2024
- **Last updated:** 10/30/2024