# JACKIE'S HOUSE OF LOVE, LLC

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

## Provider details

- **NPI number:** 1235817198
- **Authorized official:** SHANIECE ROBINSON (OWNER)
- **Authorized official phone:** (414) 491-5891

## Contact information

- **Practice address:** 5078 N 60TH ST, MILWAUKEE, WI 53218-4101
- **Practice address phone:** (414) 491-5891
- **Mailing address:** 5078 N 60TH ST, MILWAUKEE, WI 53218-4101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2023
- **Last updated:** 03/24/2024