Organization
ELEVATED EXCELLENCE
Active
Other names
Elevated Excellence
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VERONICA KIARIE RN (DIRECTOR/OPERATING MANAGER)
(708) 799-7919
Entity
Organization
Contact information
Practice address
17231 COVENTRY LN, COUNTRY CLUB HILLS, IL 60478-4632
(708) 799-7919
Mailing address
17231 COVENTRY LN, COUNTRY CLUB HILLS, IL 60478-4632
(708) 799-7919
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
310400000X
Assisted Living Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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