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NPI 1962396556

OrganizationActive

Gwenmar LLC

NPI 1962396556 · Child Mental Illness Respite Care · Milwaukee, WI

Provider details

NPI number: 1962396556
Entity type: Organization
Primary specialty: Child Mental Illness Respite CareRespite Care Facility
Organization subpart: No
Authorized official: Gwenlodyn Moss, Owner(414) 699-3518

Specialties & taxonomies

Child Mental Illness Respite CarePrimary385HR2055X
Respite Care Facility
Home Health Aide374U00000X
Nursing Service Related Providers
In Home Supportive Care Agency253Z00000X
Agencies

Practice location

4230 N 53rd St

Milwaukee, WI 53216-1343

Phone: (414) 699-3518

Fax: (520) 423-3901

Approximate (ZIP-level) locationGet directions

More WI providers

Mailing address

4230 N 53rd St

Milwaukee, WI 53216-1343

Other names (DBA / former)

Former legal business name: Gwenmar LLC

Registry dates

Enumerated: 2025-06-06
Last updated: 2025-06-06
Certified: 2025-06-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Gwenmar LLC — NPI 1962396556, Milwaukee, WI | NPI Central