Organization
PRICELESS TIME ADULT FAMILY HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCY LEDAWN BURGESS (CEO)
(262) 598-4562
Entity
Organization
Contact information
Practice address
1819 BLAKE AVE, RACINE, WI 53404-2317
(262) 598-4562
(262) 995-7377
Mailing address
PO BOX 85157, RACINE, WI 53408-5157
(262) 598-4562
(262) 995-7377
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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