Organization
KIMS HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALYNN A BAXTER (OWNER)
(262) 894-9758
Entity
Organization
Contact information
Practice address
1108 W WASHINGTON ST APT A, WEST BEND, WI 53095-2434
(262) 894-9758
Mailing address
1108 W WASHINGTON ST APT A, WEST BEND, WI 53095-2434
(262) 894-9758
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
10/28/2025
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