Organization
KENOSHA SENIOR LIVING, INC.
Active
Other names
Kenosha Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER L TUELLER (SECRETARY)
(208) 207-2726
Entity
Organization
Contact information
Practice address
3109 30TH AVE, KENOSHA, WI 53144-1673
(262) 656-1795
(262) 656-1875
Mailing address
3109 30TH AVE, KENOSHA, WI 53144-1673
(262) 656-1795
(262) 656-1875
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
06/11/2025
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