Individual provider · Type 1 NPI
Hattie Henry
Adult Care Home Facility · West Bend, WI
NPI number
1558293571
Active
Practice location
925 Tower Ln
West Bend, WI 53090-2425
Mailing address
4939 N 66th St
Milwaukee, WI 53218-4035
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 0021054 (WI) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Another provider at this address
Other adult care home facility providers in West Bend
About NPI 1558293571
Hattie Henry's National Provider Identifier is 1558293571, issued on Jun 2, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in West Bend, WI. The record was last updated on Jun 2, 2026.