institution
Roots Residential Adult Family Home Llc
Adult Care Home Facility in Racine, Wisconsin
NPI 1346790110

Roots Residential Adult Family Home Llc is an Adult Care Home Facility based in Racine, WI and is specialized in Adult Care Home. Roots Residential Adult Family Home Llc practices in Racine, WI. The NPI Number for Roots Residential Adult Family Home Llc is 1346790110 and holds a License No. 0016034 (Wisconsin).

The current practice location address for Roots Residential Adult Family Home Llc is 1715 Lasalle St Uppr, Racine, WI and can be reached out via phone at 262-800-1457 and via fax at 262-383-2131.

Location: 1715 Lasalle St Uppr, Racine, WI, 53404-7001
institution
Provider Profile Details
NPI Number
1346790110
Provider Name
Roots Residential Adult Family Home Llc
Credential
Provider Entity Type
Organization
Address
1715 Lasalle St Uppr, Racine, WI, 53404-7001
Phone Number
262-800-1457
Fax Number
262-383-2131
Provider Enumeration Date
10/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1715 Lasalle St Uppr
City
State
Zip
53402-4824
Phone Number
262-800-1457
Fax Number
262-383-2131
person
Provider Business Mailing Address Details
Address
1715 Lasalle St Uppr
City
State
Zip
53402-4824
Phone Number
262-800-1457
Fax Number
262-383-2131
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
License No.
0016034 (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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