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Organization

HUNTERS HAVEN OF KENOSHA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BRENDA YVETTE HUNTER (PRESIDENT/OWNER/OPERATOR)
(262) 656-1934
Entity
Organization

Contact information

Practice address
5500 41ST ST, KENOSHA, WI 53144-1839
(262) 656-1934
(262) 656-1939
Mailing address
5500 41ST ST, KENOSHA, WI 53144-1839
(262) 656-1934
(262) 656-1939

Taxonomy

Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
02/22/2008
Last updated
02/22/2008
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