Organization
HOPLITE, INC.
Active
Other names
Racine Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN L STEFFEN NHA (ADMINISTRATOR)
(262) 633-6348
Entity
Organization
Contact information
Practice address
1719 WASHINGTON AVE, RACINE, WI 53403-2019
(262) 633-6348
(262) 633-4282
Mailing address
1719 WASHINGTON AVE, RACINE, WI 53403-2019
(262) 633-6348
(262) 633-4282
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20001500
—
WI
Enumeration date
04/18/2007
Last updated
08/22/2020
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