Individual provider · Type 1 NPI
Kelly Denise Scroggins
Adult Care Home Facility · Racine, WI
NPI number
1992595318
Active
Practice location
2501 Jean Ave
Racine, WI 53404-1819
Fax (262) 744-5362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None 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.
Other adult care home facility providers in Racine
About NPI 1992595318
Kelly Denise Scroggins's National Provider Identifier is 1992595318, issued on May 8, 2025. 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 May 8, 2025.