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General NPI Number Information
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NPI Number | 1811855794
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Entity Type | Organization
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Legal Business Name | C.E.L.F. ELITE PRIVATE HOME CARE LLC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 301 RUGGED CREEK DR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-4570
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Country | US
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Telephone | 478-447-1503
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Fax | 678-782-3469
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Provider Business Mailing Address
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Address Line | 301 RUGGED CREEK DR
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-4570
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Country | US
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Telephone | 678-782-3485
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Fax | 678-782-3469
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Authorized Official
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Title or Position | LEAD SPECIALIST/CEO
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Name | MS. NICOLE JORDAN
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Credential |
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Telephone | 478-447-1503
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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