Organization
ELITE PERSONAL HOME CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEKSANDR ROSHAL (MEMBER)
(410) 833-0020
Entity
Organization
Contact information
Practice address
301 MAIN ST, SUITE 2B, REISTERSTOWN, MD 21136
(410) 833-0020
Mailing address
301 MAIN ST, SUITE 2B, REISTERSTOWN, MD 21136
(410) 833-0020
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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