Organization · Type 2 NPI
Roots Residential Adult Family Homes LLC
Clinic/Center · Racine, WI
NPI number
1841644481
Active
Practice location
1715 Lasalle St
Racine, WI 53402-4824
Mailing address
6210 Blue River Way
Racine, WI 53402-9448
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 0016022 (WI) |
Clinic/Center: 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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About NPI 1841644481
Roots Residential Adult Family Homes LLC's National Provider Identifier is 1841644481, issued on Apr 20, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Racine, WI. The record was last updated on Apr 20, 2016.