LILLIE HOUSE
Adult Care Home
Racine, Wisconsin
Provider NPI: 1104081942
Organization Information:Organization Name: LILLIE HOUSE
Practice Location:
4618 KINZIE AVE RACINE, WI 53405 US
Tel: 262-634-6781 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
4618 KINZIE AVE RACINE, WI 53405 US
Tel: 262-634-6781 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | WI |