Healthcare Provider Details

I. General information

NPI: 1275380487
Provider Name (Legal Business Name): ELITE SOLUTIONS HOLDING CO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2024
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

288 EGG HARBOR RD STE 9
SEWELL NJ
08080-3131
US

IV. Provider business mailing address

288 EGG HARBOR RD STE 9 #1077
SEWELL NJ
08080-3131
US

V. Phone/Fax

Practice location:
  • Phone: 856-444-0783
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MISS KIERA MORRISON
Title or Position: CEO/FOUNDER
Credential:
Phone: 856-444-0783