# ELITE HOME HEALTH CARE INC

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

## Provider details

- **NPI number:** 1174997746
- **Authorized official:** LISA WILCKENS RN (ADMINISTRATOR)
- **Authorized official phone:** (262) 221-1270

## Contact information

- **Practice address:** 829 S. GREENBAY ROAD SUITE 110, MT PLEASANT, WI 53406-4058
- **Practice address phone:** (262) 221-1270
- **Practice address fax:** (262) 456-6100
- **Mailing address:** 829 S. GREENBAY ROAD SUITE 110, MT PLEASANT, WI 53406-4058
- **Mailing address phone:** (262) 221-1270
- **Mailing address fax:** (262) 456-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1193 | WI | Yes |

## Other

- **Enumeration date:** 11/19/2015
- **Last updated:** 09/27/2016