# LUCILLE'S ELITE TEAM HOME HEALTH CARE

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

## Provider details

- **NPI number:** 1841602505
- **Authorized official:** LUCILLE NOWAKOWSKI REGISTERED NURSE (PRESIDENT)
- **Authorized official phone:** (209) 688-5841

## Contact information

- **Practice address:** 95 W 11TH ST, TRACY, CA 95376-3959
- **Practice address phone:** (209) 814-4015
- **Mailing address:** 95 W 11TH ST STE 205, TRACY, CA 95376-3961
- **Mailing address phone:** (209) 814-4015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 693652 | CA | Yes |

## Other

- **Enumeration date:** 05/28/2014
- **Last updated:** 05/28/2014