Organization
ELITE AFC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI HAMAD (MANAGER)
(973) 955-7825
Entity
Organization
Contact information
Practice address
6480 M 66, EAST LEROY, MI 49051-7764
(973) 955-7825
Mailing address
6480 M 66, EAST LEROY, MI 49051-7764
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC130410298
STATE LICENSE
MI
Enumeration date
11/10/2021
Last updated
11/10/2021
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