Individual
SHANITA MARIE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5673 N 91ST ST, MILWAUKEE, WI 53225-2747
(414) 949-6887
Mailing address
5673 N 91ST ST, MILWAUKEE, WI 53225-2747
(414) 949-6887
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
WI
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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