Organization
ELITE HOME CARE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAYSAL HASAN (EXECUTIVE OFFICER)
(619) 254-6117
Entity
Organization
Contact information
Practice address
9655 GRANITE RIDGE DR STE 200, SAN DIEGO, CA 92123-2676
(855) 513-3444
Mailing address
9655 GRANITE RIDGE DR STE 200, SAN DIEGO, CA 92123-2676
(855) 513-3444
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/10/2022
Last updated
01/03/2023
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