# SURE CARE ASSISTED LIVING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174930960
- **Authorized official:** MR. MELVIN EARL GRISBY (CEO)
- **Authorized official phone:** (414) 339-0532

## Contact information

- **Practice address:** 3710 N 39TH ST, MILWAUKEE, WI 53216-3068
- **Practice address phone:** (414) 339-0532
- **Mailing address:** 3710 N 39TH ST, MILWAUKEE, WI 53216-3068

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/14/2014
- **Last updated:** 07/14/2014
