Provider Demographics
NPI:1073137477
Name:GREEN & HEALTHY COMMUNITIES LLC
Entity Type:Organization
Organization Name:GREEN & HEALTHY COMMUNITIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:FLAGG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-739-3646
Mailing Address - Street 1:2075 N CAMBRIDGE AVE APT 106
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-0015
Mailing Address - Country:US
Mailing Address - Phone:414-739-3646
Mailing Address - Fax:
Practice Address - Street 1:2075 N CAMBRIDGE AVE APT 106
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-0015
Practice Address - Country:US
Practice Address - Phone:414-739-3646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local