Organization
ELITE HOME HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHEQUAN NICOLE GULLY (OWNER)
(314) 330-1964
Entity
Organization
Contact information
Practice address
625 N EUCLID AVE STE 320CE, SAINT LOUIS, MO 63108-1690
(314) 330-1964
Mailing address
625 N EUCLID AVE STE 320CE, SAINT LOUIS, MO 63108-1690
(314) 330-1964
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
LC97397636
MO
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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