NPI 1033611678

Jean-Owen Adult Family Home, LLC

Organisation Adult Care Home Facility South Milwaukee, WI

Practice location

Address: 1423 Rawson Ave, South Milwaukee, WI 53172-1940
Phone: (414) 215-7953
Mailing address: PO Box 293, South Milwaukee, WI 53172-0293

Authorised official

Name: Michelle Renee Washington
Title: Owner
Phone: (414) 588-6766

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 0016231 (WI)

Other Custodial Care Facility providers in Wisconsin →

Registry record

NPI: 1033611678
Entity type: Organization
NPI issued: 28 Feb 2018
Record last updated: 28 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.