Organization · Type 2 NPI
Kenosha Senior Living, Inc.
Assisted Living Facility · Kenosha, WI
NPI number
1790169944
Active
Practice location
3109 30th Ave
Kenosha, WI 53144-1673
Fax (262) 656-1875
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Another provider at this address
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About NPI 1790169944
Kenosha Senior Living, Inc.'s National Provider Identifier is 1790169944, issued on Jul 17, 2015. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Kenosha, WI. The record was last updated on Jun 11, 2025.