# KAISER ADULT FAMILY CARE, LLC

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

## Provider details

- **NPI number:** 1720498736
- **Authorized official:** CHRIS J KAISER (ADMINISTRATOR, OWNER)
- **Authorized official phone:** (715) 301-3725

## Contact information

- **Practice address:** W782 LEROY ST, EDGAR, WI 54426-9627
- **Practice address phone:** (715) 432-5060
- **Mailing address:** 311 N 14TH ST, WAUSAU, WI 54403-5688
- **Mailing address phone:** (715) 301-3725

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | 0014963 | WI | Yes |

## Other

- **Enumeration date:** 04/29/2014
- **Last updated:** 04/29/2014