Bailey Rose Adult Family Home LLC

Organization Active NPI Assisted Living Facility (Mental Illness) · Racine, WI

NPI 1487386355 · NPPES record last updated Jun 28, 2022

Key facts

NPI
1487386355
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility (Mental Illness) 3104A0625X
Legal business name
BAILEY ROSE ADULT FAMILY HOME LLC
Practice address
4800 Kinzie Ave
Racine, WI 53406-4124
Phone
(262) 664-9233
Fax
(262) 886-8112
NPI assigned
Jun 28, 2022
Organization subpart
No

Authorized official

Name
Tamara Young
Title
Owner
Phone
(262) 664-9233

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Yes

Addresses

Primary practice location

4800 Kinzie Ave
Racine, WI 53406-4124

Mailing address

4800 Kinzie Ave
Racine, WI 53406-4124
Phone (262) 664-9233

Other providers in Racine, WI

All providers in Racine, WI · Assisted Living Facility (Mental Illness) in Wisconsin

Sources for this page

Verify at the official NPI Registry.