NPI 1265601389

Hunters Haven of Kenosha, LLC

Organisation Physical Disabilities Residential Treatment Facility Kenosha, WI

Practice location

Address: 5500 41st St, Kenosha, WI 53144-1839
Phone: (262) 656-1934
Fax: (262) 656-1939

Authorised official

Name: Brenda Yvette Hunter
Title: President/Owner/Operator
Phone: (262) 656-1934

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

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Registry record

NPI: 1265601389
Entity type: Organization
NPI issued: 22 Feb 2008
Record last updated: 22 Feb 2008

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.