Organization
ELITE MEDICAL CARE, LLC
Active
Other names
ELITE MEDICAL CARE, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY M RUTLEDGE RRT (PRESIDENT)
(501) 590-6237
Entity
Organization
Contact information
Practice address
11701 INTERSTATE 30 STE 100, LITTLE ROCK, AR 72209
(501) 590-6237
(855) 313-9072
Mailing address
11701 INTERSTATE 30 STE 100, LITTLE ROCK, AR 72209-7076
(501) 590-6237
(855) 313-9072
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
99537
AR
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AR
332BX2000X
Oxygen Equipment & Supplies (DME)
—
AR
335E00000X
Prosthetic/Orthotic Supplier
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
217356716
—
AR
05
—
218985737
—
AR
Enumeration date
07/21/2016
Last updated
11/04/2022
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