Organization
ELITE LIFE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY HEFFNER (SOLE MEMBER)
(573) 238-4597
Entity
Organization
Contact information
Practice address
2112 WILLIAM ST, CAPE GIRARDEAU, MO 63703-5818
(573) 803-9320
Mailing address
PO BOX 188, MARBLE HILL, MO 63764-0188
(573) 561-4814
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/15/2020
Last updated
09/28/2020
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