Organization
BAILEY ROSE ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA YOUNG (OWNER)
(262) 664-9233
Entity
Organization
Contact information
Practice address
4800 KINZIE AVE, RACINE, WI 53406-4124
(262) 664-9233
(262) 886-8112
Mailing address
4800 KINZIE AVE, RACINE, WI 53406-4124
(262) 664-9233
(262) 886-8112
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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