Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROENA ANGELA WATERS, ADULT FAMILY HOME
Active Sole ProprietorROENA ANGELA WATERS, ADULT FAMILY HOME is a Home Health healthcare provider located in KENOSHA, Wisconsin. NPI 1366264624 is currently active in the NPPES registry. Verify at CMS.
Home Health · KENOSHA, WI
Registration Details
- NPI Number
- 1366264624
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 28, 2024 (1.7632476692331 yrs)
- Last Updated
- Oct 28, 2024
- License
-
0019382 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4910 63RD AVEKENOSHA, WI, 531441709Browse WI providers · Browse ZIP 53144
- Phone
- 2623515955
- Fax
- 2622222399
- Primary Specialty
-
Home Health
251E00000X
Other Home Health Providers in KENOSHA, WI
| Name | Credential | NPI |
|---|---|---|
| ROSALINDA JURVIS | CNA | 1619734480 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.