Verastine Riley
Assisted Living Facility, Assisted Living, Mental Illness in Kenosha, WI. Individual provider (NPI-1).
NPI number1982319331
StatusActive
Last updated in NPPESJan 19, 2023
Details
- NPI
- 1982319331
- Entity type
- Individual (NPI-1)
- Name
- Verastine Riley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 19, 2023
- Certification date
- Jan 19, 2023
- Last updated
- Jan 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3104A0625X | Assisted Living Facility, Assisted Living, Mental Illness | 0017529 | WI | Yes |
Practice location
934 43rd StKenosha, WI 53140-5703
Phone 262-721-6485
Mailing address
934 43rd StKenosha, WI 53140-5703
Phone 262-721-6485
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