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Organization

ELITE CHOICE COMPANION CARE SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA SHACKELFORD (ADMINISTRATOR)
(321) 216-5562
Entity
Organization

Contact information

Practice address
173 SAN JUAN CIR, MELBOURNE, FL 32935-5453
(321) 216-5562
Mailing address
173 SAN JUAN CIR, MELBOURNE, FL 32935-5453
(321) 216-5562

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
235037
FL
376J00000X
Homemaker
235037
FL

Other

Enumeration date
10/22/2017
Last updated
10/22/2017
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