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Organization
ELITE CARE SERVICES LLC
Active
Organization
ELITE CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NADJEDA MARTINEZ RN, BSN (OWNER/MANAGER)
(757) 270-9328
Entity
Organization
Contact information
Practice address
1348 GREAT SHOALS CIR, LAWRENCEVILLE, GA 30045
(757) 270-9328
Mailing address
1348 GREAT SHOALS CIR, LAWRENCEVILLE, GA 30045
(757) 270-9328
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
NULL
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
—
—
164W00000X
Licensed Practical Nurse
—
NULL
164W00000X
Licensed Practical Nurse
—
—
372600000X
Adult Companion
—
NULL
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
NULL
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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