# ELITE HOME HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053765032
- **Authorized official:** DWAYNE HENDERSON JR. (DIRECTOR)
- **Authorized official phone:** (314) 400-8041

## Contact information

- **Practice address:** 3350 CLARA AVE, UNIT A, SAINT LOUIS, MO 63120-1634
- **Practice address phone:** (314) 400-8041
- **Mailing address:** 5536 HEBERT ST, A, SAINT LOUIS, MO 63120-1623
- **Mailing address phone:** (314) 400-8041

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 04/15/2016
- **Last updated:** 04/15/2016