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NPI Code Detail

MEDICARE: ELITE QUALITY CARE, LLC

MEDICARE: ELITE QUALITY CARE, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1558776799
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELITE QUALITY CARE, LLC
Provider Business Mailing Address
First Line : 4401 ATLANTIC AVE STE 200
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2264
Country : US
Telephone Number : 562-313-8175
Fax Number :
Provider Business Practice Location Address
First Line : 4401 ATLANTIC AVE STE 200
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-2264
Country : US
Telephone Number : 562-313-8175
Fax Number :
Authorized Official
Title or Position : CEO/DIRECTOR
Name : MS. EDITH DUNCAN
Credential :
Telephone Number : 562-277-1136
Provider Enumeration Date : 06/26/2014
Last Update Date : 06/26/2014

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Directions to “ELITE QUALITY CARE, LLC ” Practice Location

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