| Elevate, Inc. | |
|
1626 Clarence Ct West Bend WI 53095-8533 | |
| (262) 677-2216 | |
| Not Available |
| Full Name | Elevate, Inc. |
|---|---|
| Speciality | Case Management |
| Location | 1626 Clarence Ct, West Bend, Wisconsin |
| Authorized Official Name and Position | Mary Simon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2626772216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate, Inc. N169w21005 Meadow Ln Jackson WI 53037-8622 Ph: (262) 677-2216 | Elevate, Inc. 1626 Clarence Ct West Bend WI 53095-8533 Ph: (262) 677-2216 |
| NPI Number | 1548047681 |
|---|---|
| Provider Enumeration Date | 09/12/2023 |
| Last Update Date | 09/12/2023 |
| Certification Date | 09/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548047681 | NPI | - | NPPES |
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