# IVY ELITE CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ivy Elite Care LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225742091
- **Authorized official:** QUINTINA WARREN (OWNER)
- **Authorized official phone:** (661) 579-3004

## Contact information

- **Practice address:** 626 WEST LANCASTER BLVD \#114, PALMDALE, CA 93551-9355
- **Practice address phone:** (661) 579-3004
- **Mailing address:** 626 W LANCASTER BLVD \# 114, LANCASTER, CA 93534-3108
- **Mailing address phone:** (661) 579-3004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/06/2023
- **Last updated:** 01/06/2023
