Jean-Owen Adult Family Home, LLC
NPI #1033611678 in South Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1033611678
- Entity Type
- Organization
- Organization Name
- Jean-Owen Adult Family Home, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Feb 28, 2018
- Last Updated
- Feb 28, 2018
Practice Location
- Address
- 1423 RAWSON AVE
- City
- South Milwaukee
- State
- Wisconsin
- ZIP Code
- 53172-1940
- Phone
- (414) 215-7953
Authorized Official
- Name
- MRS. MICHELLE RENEE WASHINGTON
- Title
- OWNER
- Phone
- (414) 588-6766
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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