# OUR HOME SWEET HOME LLC

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

## Provider details

- **NPI number:** 1508415894
- **Authorized official:** TELENA A. NASH (DIRECTOR)
- **Authorized official phone:** (414) 400-1717

## Contact information

- **Practice address:** 4101 N MONTREAL ST, MILWAUKEE, WI 53216-1740
- **Practice address phone:** (414) 455-3092
- **Mailing address:** 4101 N MONTREAL ST, MILWAUKEE, WI 53216-1740
- **Mailing address phone:** (414) 400-1717

## Taxonomy

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

## Other

- **Enumeration date:** 09/09/2019
- **Last updated:** 11/02/2021