Organization
KAISER ADULT FAMILY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS J KAISER (ADMINISTRATOR, OWNER)
(715) 301-3725
Entity
Organization
Contact information
Practice address
W782 LEROY ST, EDGAR, WI 54426-9627
(715) 432-5060
Mailing address
311 N 14TH ST, WAUSAU, WI 54403-5688
(715) 301-3725
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
0014963
WI
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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