Organization
VOP KENOSHA, LLC
Active
Other names
Lake Haven Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN N. CUMMINGS (PRESIDENT)
(312) 660-3800
Entity
Organization
Contact information
Practice address
10108 74TH ST, KENOSHA, WI 53142-7514
(262) 694-3101
Mailing address
10108 74TH ST, KENOSHA, WI 53142-7514
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/28/2025
Last updated
02/18/2026
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