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Elite Providers Personal Care Services, LLC

In Home Supportive Care in McDonough, GA. Organization (NPI-2).

NPI number1609198233
StatusActive
Last updated in NPPESFeb 23, 2010

Details

NPI
1609198233
Entity type
Organization (NPI-2)
Legal business name
Elite Providers Personal Care Services, LLC
Organization subpart
No
Enumeration date
Feb 23, 2010
Last updated
Feb 23, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

112 Emporia Loop
McDonough, GA 30253-6846

Phone 678-369-2908

Mailing address

112 Emporia Loop
McDonough, GA 30253-6846

Phone 678-369-2908

Authorized official

Wendi D Farr
Ceo
6783692908

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