# EULARDELL ADULT FAMILY HOME LLC

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

## Provider details

- **NPI number:** 1417890377
- **Authorized official:** LORI A WATSON (OWNER)
- **Authorized official phone:** (708) 837-4308

## Contact information

- **Practice address:** 5141 W WILLOW RD, BROWN DEER, WI 53223-3659
- **Practice address phone:** (708) 837-4308
- **Practice address fax:** (800) 887-0530
- **Mailing address:** 5141 W WILLOW RD, BROWN DEER, WI 53223-3659
- **Mailing address phone:** (708) 837-4308
- **Mailing address fax:** (800) 887-0530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 04/13/2026
- **Last updated:** 04/13/2026