Organization
POWELL ENTERPRISES LLC
Active
Parent organization
ROYALE TRANSITIONAL LIVING HOMES
Other names
Royale Transitional Living Homes
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROYALE TRANSITIONAL LIVING HOMES
Authorized official
MS. TIFFANY SHEA POWELL (OWNER)
(262) 914-2216
Entity
Organization
Contact information
Practice address
4047 32ND AVE, KENOSHA, WI 53144-1914
(262) 914-2216
Mailing address
4047 32ND AVE, KENOSHA, WI 53144-1914
(262) 914-2216
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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