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Organization
ELITE CARE ALF LLC
Active
Organization
ELITE CARE ALF LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHID RASUL MD (MANAGING MEMBER)
(917) 774-1787
Entity
Organization
Contact information
Practice address
128 W WASHINGTON ST, NANTICOKE, PA 18634
(917) 774-1787
(718) 874-0088
Mailing address
221 SKYLINE DRIVE, STE 208-275, E STROUDSBURG, PA 18301
(917) 774-1787
(718) 874-0088
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
—
NULL
208M00000X
Hospitalist Physician
—
—
310400000X
Assisted Living Facility
Primary
—
NULL
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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