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Organization
ELITE HOME CARE
Active
Organization
ELITE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ANDREW MARTIN (OWNER)
(864) 869-8730
Entity
Organization
Contact information
Practice address
2000 BUD ARTHUR BRIDGE RD, SPARTANBURG, SC 29307-4417
(864) 580-6477
Mailing address
PO BOX 1181, SPARTANBURG, SC 29304-1181
(864) 869-8739
(704) 919-5011
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0030
SC
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EN1788
GREER
SC
01
—
EX1348
LEGACY
SC
01
—
EX1828
LAURENS
SC
01
—
EY1000
LIBERTY
SC
01
—
EY1008
GREENWOOD
SC
Enumeration date
05/13/2015
Last updated
05/06/2022
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