Organization
DEK CO. INC.
Active
Other names
Rainbow Park Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAWN E. KENNISON (ADMINISTRATOR/OWNER)
(414) 364-4100
Entity
Organization
Contact information
Practice address
1217 S 118TH ST, WEST ALLIS, WI 53214-2132
(414) 257-1208
Mailing address
4473 N 105TH ST, WAUWATOSA, WI 53225-4509
(414) 438-6620
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
WI
3104A0625X
Assisted Living Facility (Mental Illness)
—
WI
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
WI
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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