Jimmie C Grays
Jimmie C Grays is an Adult Care Home Facility in South Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
2903 15th AveSouth Milwaukee, WI 53172-3031
Phone: (262) 497-8448
Fax: (262) 681-3118
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Care Home Facility (primary) | Taxonomy 311ZA0620X · Licence 0014387 (WI) |
|---|---|
| Custodial Care Facility | Taxonomy 311Z00000X · Licence 0014387 (WI) |
Record details
| NPI number | 1750276077 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 9, 2025 |
| Last updated in NPPES | June 9, 2025 |
| Certification date | June 9, 2025 |
| Mailing address | 5221 Gallant Fox Ln, Caledonia, WI 53402-6100 |
Other providers in South Milwaukee
-
Faith Hope & Charity Fh&c Supportive Living Inc
3344 Marina Rd Apt # 211, South Milwaukee, WI 53172-3961 · (414) 793-4066
-
Jean-Owen Adult Family Home, LLC
1423 Rawson Ave, South Milwaukee, WI 53172-1940 · (414) 215-7953