# ELITE HOME CARE SERVICES

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

## Provider details

- **NPI number:** 1720382534
- **Authorized official:** MRS. KIMBERLY TYLER RN (OWNER)
- **Authorized official phone:** (678) 926-3385

## Contact information

- **Practice address:** 965 ISLAND BLUFF LN, BUFORD, GA 30518-5575
- **Practice address phone:** (678) 926-3385
- **Mailing address:** 965 ISLAND BLUFF LN, BUFORD, GA 30518-5575
- **Mailing address phone:** (678) 926-3385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 067R0789 | GA | Yes |

## Other

- **Enumeration date:** 01/08/2011
- **Last updated:** 01/08/2011