Individual provider · Type 1 NPI
Tiffany Powell
Adult Care Home Facility · Kenosha, WI
NPI number
1992495618
Active
Practice location
4047 32nd Ave
Kenosha, WI 53144-1914
Mailing address
6815 32nd Ave
Kenosha, WI 53142-3447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 0016623 (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 Kenosha
About NPI 1992495618
Tiffany Powell's National Provider Identifier is 1992495618, issued on May 8, 2023. 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 8, 2023.