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General NPI Number Information
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NPI Number | 1497788111
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Entity Type | Organization
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Legal Business Name | ELITE HOME HEALTH, LLC
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 09/25/2009
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Provider Practice Location Address
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Address Line | 1508 N DAL PASO ST
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City | HOBBS
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State | NM
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Zip | 88240-4042
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Country | US
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Telephone | 575-393-9281
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Fax | 575-393-9332
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Provider Business Mailing Address
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Address Line | PO BOX 2368
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City | HOBBS
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State | NM
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Zip | 88241-2368
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Country | US
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Telephone | 575-393-9281
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Fax | 575-393-9332
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MRS. SHARON FORREST
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Credential | RN
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Telephone | 575-393-9281
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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 | 3226
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License Number State | NM
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