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Lillie House
Adult Care Home Facility in Racine, Wisconsin
NPI 1104081942

Lillie House is an Adult Care Home Facility based in Racine, WI and is specialized in Adult Care Home. Lillie House practices in Racine, WI. The NPI Number for Lillie House is 1104081942 and holds a License No. (Wisconsin).

The current practice location address for Lillie House is 4618 Kinzie Ave, Racine, WI and can be reached out via phone at 262-634-6781.

Location: 4618 Kinzie Ave, Racine, WI, 53405-2212
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104081942
Provider Name
Lillie House
Credential
Provider Entity Type
Organization
Address
4618 Kinzie Ave, Racine, WI, 53405-2212
Phone Number
262-634-6781
Fax Number
Provider Enumeration Date
07/21/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4618 Kinzie Ave
City
Racine
State
Wisconsin
Zip
53405-2212
Phone Number
262-634-6781
Fax Number
person
Provider Business Mailing Address Details
Address
4618 Kinzie Ave
City
Racine
State
Wisconsin
Zip
53405-2212
Phone Number
262-634-6781
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
(Wisconsin)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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