Organization
ELITE GARDEN HOMES, INC.
Active
Other names
ELITE GARDEN HOME HEALTH AGENCY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY SONA CEO (CEO)
(414) 241-5019
Entity
Organization
Contact information
Practice address
11414 W PARK PL, SUITE 202, MILWAUKEE, WI 53224-3500
(414) 459-3275
(414) 434-4207
Mailing address
10501 W BRADLEY RD, MILWAUKEE, WI 53224-2673
(414) 459-3275
(414) 434-4207
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1157
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1157
WISCONSIN STATE HOME HEALTH LICENSE
WI
Enumeration date
11/28/2012
Last updated
11/28/2012
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