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Organization
ELEMENTS OF HEALTH LLC
Active
Organization
ELEMENTS OF HEALTH LLC
Active
Other names
Elements of Health LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LATONYA THOMAS (ADMINISTRATOR)
(414) 236-5043
Entity
Organization
Contact information
Practice address
7101 N GREEN BAY AVE, SUITE B, GLENDALE, WI 53209-3644
(414) 462-3383
(414) 462-3445
Mailing address
7101 N GREEN BAY AVE, SUTIE 8, GLENDALE, WI 53209-3644
(414) 236-5043
(414) 236-5118
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100041698
—
WI
Enumeration date
07/26/2016
Last updated
05/25/2023
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