# ELITE CARE ALF LLC

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

## Provider details

- **NPI number:** 1497261242
- **Authorized official:** SHAHID RASUL MD (MANAGING MEMBER)
- **Authorized official phone:** (917) 774-1787

## Contact information

- **Practice address:** 128 W WASHINGTON ST, NANTICOKE, PA 18634
- **Practice address phone:** (917) 774-1787
- **Practice address fax:** (718) 874-0088
- **Mailing address:** 221 SKYLINE DRIVE, STE 208-275, E STROUDSBURG, PA 18301
- **Mailing address phone:** (917) 774-1787
- **Mailing address fax:** (718) 874-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208M00000X | Hospitalist Physician | — | NULL | — |
| 208M00000X | Hospitalist Physician | — | — | — |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/15/2017
- **Last updated:** 12/15/2017
