TIFFANY POWELL

Adult Care Home Facility

NPI: 1992495618Individual

Specialties, Licenses & Credentials

Adult Care Home FacilityPrimary

Custodial Care Facility — Adult Care Home

Code: 311ZA0620X

0016623(WI)

Contact & Hours

Address: 4047 32ND AVE
KENOSHA, WI 53144
Phone: (262) 914-2216

Quick Facts

NPI: 1992495618
Entity Type: Individual
Gender: Female
Medicare: Not confirmed
Specialties: 1
Locations: 1

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