Organization · NPI-2

Kreative Kare Adult Family Home LLC

Assisted Living Facility · Racine, WI

NPI number1235012402
StatusActive
Last updated in NPPESJul 28, 2025

Details

NPI
1235012402
Entity type
Organization (NPI-2)
Legal business name
Kreative Kare Adult Family Home LLC
Organization subpart
No
Enumeration date
Jul 28, 2025
Certification date
Jul 27, 2025
Last updated
Jul 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

4307 Wright Ave
Racine, WI 53405-3160

Phone 414-334-7668

Mailing address

4307 Wright Ave
Racine, WI 53405-3160

Phone 414-334-7668

Authorized official

Kimberly W Neal
Owner
4143347665

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