Organization
JEAN-OWEN ADULT FAMILY HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE RENEE WASHINGTON (OWNER)
(414) 588-6766
Entity
Organization
Contact information
Practice address
1423 RAWSON AVE, SOUTH MILWAUKEE, WI 53172-1940
(414) 215-7953
Mailing address
PO BOX 293, SOUTH MILWAUKEE, WI 53172-0293
(414) 215-7953
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
0016231
WI
Other
Enumeration date
02/28/2018
Last updated
02/28/2018
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