Organization
AGELESS JOURNEY AFH
Active
Other names
AGELESS JOURNEY AFH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AENEAS OLIVER (MANAGER)
(414) 502-3112
Entity
Organization
Contact information
Practice address
555 W BROWN DEER RD STE 218, BAYSIDE, WI 53217-6204
(414) 867-8040
Mailing address
555 W BROWN DEER RD STE 218, BAYSIDE, WI 53217-6204
(414) 296-6231
(414) 867-4208
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
06/17/2025
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