Organization
JACKIE'S HOUSE OF LOVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANIECE ROBINSON (OWNER)
(414) 491-5891
Entity
Organization
Contact information
Practice address
5078 N 60TH ST, MILWAUKEE, WI 53218-4101
(414) 491-5891
Mailing address
5078 N 60TH ST, MILWAUKEE, WI 53218-4101
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
03/24/2024
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