Organization
LAURAS HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC KLUG (OWNER)
(262) 903-2624
Entity
Organization
Contact information
Practice address
945 LAKE GENEVA BLVD, LAKE GENEVA, WI 53147-2443
(262) 903-2624
Mailing address
PO BOX 224, LAKE GENEVA, WI 53147-0224
(262) 903-2624
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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