Individual
MRS. GENTELLA D WEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAREGIVER
Contact information
Practice address
3803 N 23RD ST, MILWAUKEE, WI 53206-1915
(414) 210-3149
(414) 210-3149
Mailing address
3803 N 23RD ST, MILWAUKEE, WI 53206-1915
(414) 210-3149
(414) 210-3149
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
8726581799
WI
385H00000X
Respite Care
—
WI
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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