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JIMMIE GRAYS

Adult Care Home Facility

NPI: 1750276077Individual

Specialties, Licenses & Credentials

Adult Care Home FacilityPrimary

Custodial Care Facility — Adult Care Home

Code: 311ZA0620X

0014387(WI)
Custodial Care Facility

Custodial Care Facility

Code: 311Z00000X

0014387(WI)

Contact & Hours

Address
2903 15TH AVE
SOUTH MILWAUKEE, WI 53172

Quick Facts

NPI
1750276077
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
2
Locations
1

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