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General NPI Number Information
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NPI Number | 1871959254
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Entity Type | Organization
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Legal Business Name | ELITE HOMEMAKER AND COMPANION SERVICES INC.
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Dates
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Enumeration Date | 01/14/2016
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Last Update Date | 01/14/2016
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Provider Practice Location Address
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Address Line | 940 DOUGLAS AVE UNIT 159
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2097
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Country | US
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Telephone | 407-694-2998
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Fax |
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Provider Business Mailing Address
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Address Line | 940 DOUGLAS AVE UNIT 159
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32714-2097
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Country | US
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Telephone | 407-694-2998
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SIGFRED MARQUEZ
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Credential | RN
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Telephone | 407-694-2998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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