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Elizabeth M Pettis
Home Health Agency in Oak Creek, Wisconsin
NPI 1275165516

Elizabeth M Pettis is a Home Health Agency based in Oak Creek, WI. Elizabeth M Pettis practices in Oak Creek, WI. The NPI Number for Elizabeth M Pettis is 1275165516 and holds a License No. (Wisconsin).

The current practice location address for Elizabeth M Pettis is 6868 S Ash St, Oak Creek, WI and can be reached out via phone at 414-254-9434 and via fax at 414-215-7227.

Location: 6868 S Ash St, Oak Creek, WI, 53154-1604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275165516
Provider Name
Elizabeth M Pettis
Credential
Provider Entity Type
Individual
Gender
Female
Address
6868 S Ash St, Oak Creek, WI, 53154-1604
Phone Number
414-254-9434
Fax Number
414-215-7227
Provider Enumeration Date
02/05/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100067661 05 WI
institution
Provider Business Practice Location Address Details
Address
6868 S Ash St
City
Oak Creek
State
Wisconsin
Zip
53154-1604
Phone Number
414-254-9434
Fax Number
414-215-7227
person
Provider Business Mailing Address Details
Address
6868 S Ash St
City
Oak Creek
State
Wisconsin
Zip
53154-1604
Phone Number
414-254-9434
Fax Number
414-215-7227
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
(Wisconsin)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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