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NPI Code Detail

MEDICARE: ELITE PATIENT SERVICES INC

MEDICARE: ELITE PATIENT SERVICES INC
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
1332BC3200XCustomized Equipment (DME)

General Provider Information

NPI Number : 1467284687
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELITE PATIENT SERVICES INC
Provider Business Mailing Address
First Line : 101 SILVERMINE RD STE 300
Second Line :
City : BROOKFIELD
State : CT
Zip : 06804-2047
Country : US
Telephone Number : 888-374-0855
Fax Number :
Provider Business Practice Location Address
First Line : 2140 S DUPONT HWY
Second Line :
City : CAMDEN
State : DE
Zip : 19934-1249
Country : US
Telephone Number : 888-374-0855
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : EDWIN DEARBORN
Credential :
Telephone Number : 714-300-9566
Provider Enumeration Date : 08/16/2024
Last Update Date : 08/16/2024

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Directions to “ELITE PATIENT SERVICES INC ” Practice Location

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