Juvonta Leach
Juvonta Leach is an Adult Care Home Facility in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2024
Practice location Address checks out
6125 N 39th StMilwaukee, WI 53209-3509
Phone: (262) 281-0216
Fax: (855) 810-4227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 0019557 (WI) |
|---|
Record details
| NPI number | 1740026426 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | July 2, 2024 |
| Last updated in NPPES | July 2, 2024 |
| Certification date | July 2, 2024 |
| Mailing address | 6125 N 39th St, Milwaukee, WI 53209-3509 |
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