# ELIXIR HOME HEALTH CARE & HOSPICE,INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elixir Home Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114302742
- **Authorized official:** JAVED WAHAB (PRESIDENT)
- **Authorized official phone:** (209) 369-5110

## Contact information

- **Practice address:** 1420 W KETTLEMAN LN, SUITE S2, LODI, CA 95242-4557
- **Practice address phone:** (209) 369-5110
- **Practice address fax:** (209) 396-5130
- **Mailing address:** 1420 W KETTLEMAN LN, SUITE S2, LODI, CA 95242-4557
- **Mailing address phone:** (209) 369-5110
- **Mailing address fax:** (209) 396-5130

## Taxonomy

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

## Other

- **Enumeration date:** 07/24/2015
- **Last updated:** 07/24/2015