Individual
CHASTITY N BERRY-ROWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4274 N 74TH ST, MILWAUKEE, WI 53216-1051
(414) 395-3434
Mailing address
4274 N 74TH ST, MILWAUKEE, WI 53216-1051
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
—
WI
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
04/26/2022
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