Search › Wisconsin › 251E00000X
Roena Waters, ADULT FAMILY HOME
NPI 1366264624 · on the registry since 2024 · sole proprietor
Practice
- Address
- 4910 63rd Ave
Kenosha, WI 53144 - Phone
- (262) 351-5955
- Fax
- (262) 222-2399
Registry record
- Primary taxonomy
- 251E00000X
251E00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin