# JEAN-OWEN ADULT FAMILY HOME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033611678
- **Authorized official:** MRS. MICHELLE RENEE WASHINGTON (OWNER)
- **Authorized official phone:** (414) 588-6766

## Contact information

- **Practice address:** 1423 RAWSON AVE, SOUTH MILWAUKEE, WI 53172-1940
- **Practice address phone:** (414) 215-7953
- **Mailing address:** PO BOX 293, SOUTH MILWAUKEE, WI 53172-0293
- **Mailing address phone:** (414) 215-7953

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 0016231 | WI | Yes |

## Other

- **Enumeration date:** 02/28/2018
- **Last updated:** 02/28/2018