OrganizationActive
Divine Grace Adult Family Home LLC
NPI 1235084740 · Alzheimer Center (Dementia Center) · Milwaukee, WI
Provider details
- NPI number
- 1235084740
- Entity type
- Organization
- Primary specialty
- Alzheimer Center (Dementia Center)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Maurice Jackson Sr, Owner(414) 379-3001
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
7727 W Glendale Ave
Milwaukee, WI 53218-5331
Phone: (414) 274-9935
Approximate (ZIP-level) locationGet directions
Mailing address
7727 W Glendale Ave
Milwaukee, WI 53218-5331
Registry dates
- Enumerated
- 2026-03-02
- Last updated
- 2026-03-02
- Certified
- 2026-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.