NPI 1013885300

Kims Haven LLC

Organisation Assisted Living Facility West Bend, WI

Practice location

Address: 1108 W Washington St APT a, West Bend, WI 53095-2434
Phone: (262) 894-9758

Authorised official

Name: Kalynn a Baxter
Title: Owner
Phone: (262) 894-9758

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1013885300
Entity type: Organization
NPI issued: 28 Oct 2025
Record last updated: 28 Oct 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.