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General NPI Number Information
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NPI Number | 1750305348
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Entity Type | Organization
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Legal Business Name | ELITE HEALTH CARE, INC.
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 7 FAIRLAND CT
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City | NITRO
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State | WV
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Zip | 25143-1118
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Country | US
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Telephone | 304-776-5683
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Fax | 304-776-5615
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Provider Business Mailing Address
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Address Line | 7 FAIRLAND CT
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City | NITRO
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State | WV
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Zip | 25143-1118
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Country | US
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Telephone | 304-776-5683
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Fax | 304-776-5615
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Authorized Official
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Title or Position | OWNER
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Name | MR. MARK K SMITH
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Credential |
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Telephone | 304-776-5683
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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 | WV
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