| NPI | 1962396556 |
|---|---|
| Former Legal Business Name | GWENMAR LLC |
| Entity Type | Organization |
| Authorized Contact | GWENLODYN MOSS Owner 414-699-3518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child |
| Additional Taxonomies | 374U00000X Home Health Aide |
| 253Z00000X In Home Supportive Care | |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-06-06 |