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Organization
LUCILLE'S ELITE TEAM HOME HEALTH CARE
Active
Organization
LUCILLE'S ELITE TEAM HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCILLE NOWAKOWSKI REGISTERED NURSE (PRESIDENT)
(209) 688-5841
Entity
Organization
Contact information
Practice address
95 W 11TH ST, TRACY, CA 95376-3959
(209) 814-4015
Mailing address
95 W 11TH ST STE 205, TRACY, CA 95376-3961
(209) 814-4015
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
693652
CA
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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