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General NPI Number Information
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NPI Number | 1023880721
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Entity Type | Organization
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Legal Business Name | ELITE FAMILY HOME CARE INC
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Dates
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Enumeration Date | 10/25/2023
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Last Update Date | 10/26/2023
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Provider Practice Location Address
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Address Line | 18501 PINES BLVD STE 348
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-1414
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Country | US
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Telephone | 954-319-2628
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Fax | 305-893-8131
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Provider Business Mailing Address
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Address Line | 301 SW 182ND WAY
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City | PEMBROKE PINES
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State | FL
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Zip | 33029-4320
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BLANCA CARDENAS
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Credential |
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Telephone | 954-319-2628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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