# BOARD OF GOVERNORS OF DALLAS COUNTY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elite Home Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952499840
- **Authorized official:** KENNETH E SANDERS (ADMINISTRATOR / CEO)
- **Authorized official phone:** (870) 352-6363

## Contact information

- **Practice address:** 310 W COLLEGE, FORDYCE, AR 71742-2230
- **Practice address phone:** (870) 352-6363
- **Practice address fax:** (870) 352-6343
- **Mailing address:** PO BOX 51266, LAFAYETTE, LA 70505-1266
- **Mailing address phone:** (337) 233-1307
- **Mailing address fax:** (337) 233-5764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | AR4115 | AR | Yes |
| 251J00000X | Nursing Care Agency | — | AR | — |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 10/17/2017