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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