Individual provider · Type 1 NPI
Jenny Petersen
Adult Care Home Facility · Kenosha, WI
NPI number
1689462327
Active
Practice location
1628 34th Ct
Kenosha, WI 53144-3368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide | 374U00000X | None listed |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
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.
Other adult care home facility providers in Kenosha
About NPI 1689462327
Jenny Petersen's National Provider Identifier is 1689462327, issued on Apr 30, 2025. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Kenosha, WI. The record was last updated on May 1, 2025.