JUVONTA LEACH

MILWAUKEE, WI
NPI1740026426
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: WI  0019557)
Enumeration Date2024-07-02
Last Update Date2024-07-02
Business Address
JUVONTA LEACH
6125 N 39TH ST
MILWAUKEE, WI 53209-3509
Phone number: 262-281-0216
Mailing Address
JUVONTA LEACH
6125 N 39TH ST
MILWAUKEE, WI 53209-3509
Phone number: 262-281-0216
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