# A LOVING CARE GROUP HOME LLC

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

## Provider details

- **NPI number:** 1558184895
- **Authorized official:** PARIT PATEL (MEMBER)
- **Authorized official phone:** (262) 939-3666

## Contact information

- **Practice address:** 2710 WESTLAWN AVE, RACINE, WI 53405-4464
- **Practice address phone:** (262) 939-3666
- **Mailing address:** 2054 KEARNEY AVE, RACINE, WI 53403-2462
- **Mailing address phone:** (262) 939-3666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2024
- **Last updated:** 11/05/2024