Organization
K.R. FAMILY MANOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON MARIE HOLDER (OWNER / LICENSEE)
(920) 285-5883
Entity
Organization
Contact information
Practice address
1113 LISBON ST, WATERTOWN, WI 53098-2414
(920) 261-8750
Mailing address
1113 LISBON ST, WATERTOWN, WI 53098-2414
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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