Organization
ELITE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON JUSTICE (CO OWNER/ ADMINISTRATOR)
(501) 229-1523
Entity
Organization
Contact information
Practice address
130 WEST 2ND ST., MALVERN, AR 72104-3708
(501) 229-1523
(501) 229-2929
Mailing address
130 WEST 2ND ST., MALVERN, AR 72104-3708
(501) 229-1523
(501) 229-2929
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202881732
—
AR
05
—
207221797
—
AR
05
—
209345757
—
AR
Enumeration date
08/09/2019
Last updated
11/12/2024
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