Organization
JANIE'S PLACE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANA S JACKSON (OWNER / ADMINISTRATOR)
(414) 943-8400
Entity
Organization
Contact information
Practice address
8540 W APPLETON AVE APT 1, MILWAUKEE, WI 53225-4283
(414) 943-8400
(414) 763-9273
Mailing address
8540 W APPLETON AVE APT 1, MILWAUKEE, WI 53225-4283
(414) 943-8400
(414) 763-9273
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
0013321
WI
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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