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Roots Residential Adult Family Homes Llc
Clinic/Center in Racine, Wisconsin
NPI 1841644481

Roots Residential Adult Family Homes Llc is a Clinic/Center based in Racine, WI. Roots Residential Adult Family Homes Llc practices in Racine, WI. The NPI Number for Roots Residential Adult Family Homes Llc is 1841644481 and holds a License No. 0016022 (Wisconsin).

The current practice location address for Roots Residential Adult Family Homes Llc is 1715 Lasalle St, Racine, WI and can be reached out via phone at 262-902-3442.

Location: 1715 Lasalle St, Racine, WI, 53402-9448
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841644481
Provider Name
Roots Residential Adult Family Homes Llc
Credential
Provider Entity Type
Organization
Address
1715 Lasalle St, Racine, WI, 53402-9448
Phone Number
262-902-3442
Fax Number
Provider Enumeration Date
04/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1715 Lasalle St
City
Racine
State
Wisconsin
Zip
53402-4824
Phone Number
262-902-3442
Fax Number
person
Provider Business Mailing Address Details
Address
1715 Lasalle St
City
Racine
State
Wisconsin
Zip
53402-4824
Phone Number
262-902-3442
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
0016022 (Wisconsin)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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