Organization
ELITE HOMECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANITA JEAN WINFREE RN (VICE PRESIDENT)
(434) 296-4155
Entity
Organization
Contact information
Practice address
10605 PATTERSON AVE, SUITE D, RICHMOND, VA 23238-4742
(804) 675-4900
(804) 675-4364
Mailing address
PO BOX 303, IVY, VA 22945-0303
(434) 296-4155
(804) 749-8019
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0206009178
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009108688
—
VA
Enumeration date
08/30/2006
Last updated
06/27/2008
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