Individual provider · Type 1 NPI

Juvonta Leach

Adult Care Home Facility · Milwaukee, WI

NPI number 1740026426 Active

Practice location

6125 N 39th St
Milwaukee, WI 53209-3509

Call (262) 281-0216 Map

Fax (855) 810-4227

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X0019557 (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.

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About NPI 1740026426

Juvonta Leach's National Provider Identifier is 1740026426, issued on Jul 2, 2024. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 2, 2024.