NPI 1235084740

Divine Grace Adult Family Home LLC

Organisation Alzheimer Center (Dementia Center) Milwaukee, WI

Practice location

Address: 7727 W Glendale Ave, Milwaukee, WI 53218-5331
Phone: (414) 274-9935

Authorised official

Name: Maurice Jackson Sr
Title: Owner
Phone: (414) 379-3001

Registered specialties

Alzheimer Center (Dementia Center) Primary

Nursing & Custodial Care Facilities Taxonomy 311500000X

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Registry record

NPI: 1235084740
Entity type: Organization
NPI issued: 2 Mar 2026
Record last updated: 2 Mar 2026

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.