Organization
ELEVATED LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LQUISHA BRIGGS (OWNER)
(262) 606-0500
Entity
Organization
Contact information
Practice address
8827 W ACACIA ST, MILWAUKEE, WI 53224-5322
(262) 606-0500
Mailing address
8827 W ACACIA ST, MILWAUKEE, WI 53224-5327
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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