Organization
JELKA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JELKA LEEDLE BSN (REGISTERED NURSE)
(608) 322-6564
Entity
Organization
Contact information
Practice address
N891 STATE ROAD 120, LAKE GENEVA, WI 53147-4224
(608) 322-6564
Mailing address
N891 STATE ROAD 120, LAKE GENEVA, WI 53147-4224
(608) 322-6564
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
06/21/2019
Last updated
04/23/2021
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