# AGAPE GENERATIONAL LIVING FACILITY LLC

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

## Provider details

- **NPI number:** 1720992332
- **Authorized official:** JENELLE M WARD APRN (ADMINISTRATOR/NURSE PRACTITIONER)
- **Authorized official phone:** (262) 454-2117

## Contact information

- **Practice address:** 4798 W WILLOW RD, BROWN DEER, WI 53223-3652
- **Practice address phone:** (414) 236-5021
- **Mailing address:** 4798 W WILLOW RD, BROWN DEER, WI 53223-3652
- **Mailing address phone:** (414) 236-5021

## Taxonomy

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

## Other

- **Enumeration date:** 09/30/2026
- **Last updated:** 09/30/2026