Organization
ELITE HOME HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WILCKENS RN (ADMINISTRATOR)
(262) 221-1270
Entity
Organization
Contact information
Practice address
829 S. GREENBAY ROAD SUITE 110, MT PLEASANT, WI 53406-4058
(262) 221-1270
(262) 456-6100
Mailing address
829 S. GREENBAY ROAD SUITE 110, MT PLEASANT, WI 53406-4058
(262) 221-1270
(262) 456-6100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1193
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1193
HOME HEALTH LICENSE
WI
Enumeration date
11/19/2015
Last updated
09/27/2016
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