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Organization
ELITECARE HOME HEALTH SPECIALISTS
Active
Organization
ELITECARE HOME HEALTH SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN BLACK (CEO)
(831) 214-4170
Entity
Organization
Contact information
Practice address
7881 N MAIDEN POOLS PL, TUCSON, AZ 85743-5537
(831) 214-4170
Mailing address
7881 N MAIDEN POOLS PL, TUCSON, AZ 85743-5537
(831) 214-4170
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
NULL
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
251K00000X
Public Health or Welfare Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
251T00000X
PACE Provider Organization
—
NULL
251V00000X
Voluntary or Charitable Agency
—
NULL
251X00000X
Supports Brokerage Agency
—
NULL
252Y00000X
Early Intervention Provider Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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