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General NPI Number Information
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NPI Number | 1033386511
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Entity Type | Organization
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Legal Business Name | ELITE HOME CARE INC
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Dates
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Enumeration Date | 05/13/2008
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Last Update Date | 12/08/2008
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Provider Practice Location Address
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Address Line | 850 STEPHENSON HIGHWAY SUITE 304
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City | TROY
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State | MI
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Zip | 48083-1102
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Country | US
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Telephone | 734-652-4654
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Fax | 734-225-4644
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Provider Business Mailing Address
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Address Line | 850 STEPHENSON HWY SUITE 304
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City | TROY
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State | MI
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Zip | 48083-1152
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Country | US
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Telephone | 734-652-4654
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Fax | 734-225-4644
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Authorized Official
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Title or Position | OWNER
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Name | RASMIA ODEH
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Credential |
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Telephone | 734-652-4654
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MI
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