# ELITE PROVIDERS PERSONAL CARE SERVICES, LLC

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

## Provider details

- **NPI number:** 1609198233
- **Authorized official:** MS. WENDI D FARR (CEO)
- **Authorized official phone:** (678) 369-2908

## Contact information

- **Practice address:** 112 EMPORIA LOOP, MCDONOUGH, GA 30253-6846
- **Practice address phone:** (678) 369-2908
- **Mailing address:** 112 EMPORIA LOOP, MCDONOUGH, GA 30253-6846
- **Mailing address phone:** (678) 369-2908

## Taxonomy

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

## Other

- **Enumeration date:** 02/23/2010
- **Last updated:** 02/23/2010