Organization
ELITE SENIOR CARE LLC
Active
Other names
Elite Senior Care Management Company
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY HAGOOD (OWNER)
(870) 565-5203
Entity
Organization
Contact information
Practice address
434 HWY 18 BYPASS, MANILA, AR 72442
(870) 570-0340
(844) 293-7809
Mailing address
P.O. BOX 888, 434 HWY 18 BYPASS, MANILLA, AR 72442
(870) 570-0340
(844) 293-7809
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
222015765
AR
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222015765
—
AR
05
—
277050732
—
AR
Enumeration date
12/14/2017
Last updated
05/08/2022
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