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Organization
ELITE CARE HEALTH GROUP
Active
Organization
ELITE CARE HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTY R STEVENSON RN (CEO)
(228) 323-7695
Entity
Organization
Contact information
Practice address
839B 28TH ST, GULFPORT, MS 39501-5413
(228) 596-5911
Mailing address
839B 28TH ST, GULFPORT, MS 39501-5413
(228) 596-5911
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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