Organization · Type 2 NPI

Lillie House

Adult Care Home Facility · Racine, WI

NPI number 1104081942 Active

Practice location

4618 Kinzie Ave
Racine, WI 53405-2212

Call (262) 634-6781 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: 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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About NPI 1104081942

Lillie House's National Provider Identifier is 1104081942, issued on Jul 21, 2008. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Racine, WI. The record was last updated on Jul 21, 2008.