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General NPI Number Information
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NPI Number | 1528546173
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Entity Type | Organization
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Legal Business Name | ELITE HOME CARE SOLUTIONS, LLC
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Dates
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Enumeration Date | 08/04/2018
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Last Update Date | 08/04/2018
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Provider Practice Location Address
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Address Line | 4600 POWDER MILL RD STE 450-T
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City | BELTSVILLE
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State | MD
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Zip | 20705-2675
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Country | US
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Telephone | 301-477-1420
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Fax | 301-477-1525
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Provider Business Mailing Address
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Address Line | 4600 POWDER MILL RD STE 450-T
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City | BELTSVILLE
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State | MD
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Zip | 20705-2675
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Country | US
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Telephone | 301-477-1420
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Fax | 301-477-1525
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Authorized Official
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Title or Position | OWNER
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Name | MR. JESSE L EPPS III
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Credential |
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Telephone | 301-256-4598
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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 | R4281
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License Number State | MD
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