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NPI Code Detail

MEDICARE: ELITE HOME CARE LLC

MEDICARE: ELITE HOME CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1275590275
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELITE HOME CARE LLC
Provider Business Mailing Address
First Line : 3445 W MEMORIAL RD
Second Line : SUITE H
City : OKLAHOMA CITY
State : OK
Zip : 73134
Country : US
Telephone Number : 405-752-2523
Fax Number : 405-752-2543
Provider Business Practice Location Address
First Line : 3445 W MEMORIAL RD
Second Line : SUITE H
City : OKLAHOMA CITY
State : OK
Zip : 73134
Country : US
Telephone Number : 405-752-2523
Fax Number : 405-752-2543
Authorized Official
Title or Position : ADMINISTRATOR
Name : DR. VIRGINIA J HARBOUR
Credential : DPT
Telephone Number : 405-752-2523
Provider Enumeration Date : 04/26/2006
Last Update Date : 08/22/2020

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Directions to “ELITE HOME CARE LLC ” Practice Location

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