TIFFANY POWELL

KENOSHA, WI
NPI1992495618
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: WI  0016623)
Enumeration Date2023-05-08
Last Update Date2023-05-08
Business Address
TIFFANY POWELL
4047 32ND AVE
KENOSHA, WI 53144-1914
Phone number: 262-914-2216
Mailing Address
TIFFANY POWELL
6815 32ND AVE
KENOSHA, WI 53142-3447
Phone number: 262-914-2216
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