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Organization

CARE OF CAROLYN MILWAUKEE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHNNY JONES (CEO)
(414) 467-5570
Entity
Organization

Contact information

Practice address
10226 W CAPITOL DR, MILWAUKEE, WI 53222-1394
(414) 467-5570
Mailing address
PO BOX 222, BUTLER, WI 53007-0222
(414) 467-5570

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
310400000X
Assisted Living Facility
Primary
3104A0630X
Assisted Living Facility (Behavioral Disturbances)

Other

Enumeration date
07/25/2023
Last updated
11/04/2025
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