NPI 1588941538

Kenosha County Department of Human Services

Organisation Foster Care Agency Kenosha, WI

Practice location

Address: 8600 Sheridan Rd Suite 100, Kenosha, WI 53143-6506
Phone: (262) 697-4555
Fax: (262) 697-4655

Authorised official

Name: John Jansen
Title: Director
Phone: (262) 697-4500

Registered specialties (2)

Foster Care Agency Primary

Agencies Taxonomy 253J00000X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1588941538
Entity type: Organization
NPI issued: 4 Nov 2011
Record last updated: 29 Jan 2020

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.