Organization
JUANITA'S RESIDENITAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LT AUSTIN (OWNER)
(414) 388-0903
Entity
Organization
Contact information
Practice address
3316 N 25TH ST, MILWAUKEE, WI 53206-1236
(414) 388-0903
Mailing address
4035 N 70TH ST, MILWAUKEE, WI 53216-1128
(414) 388-0903
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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