Organization
ELITE HOME HEALTH CARE 2 LLC DBA ELITE HOME HEALTH CARE 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATICHA VAUGHN (OWNER)
(314) 500-3330
Entity
Organization
Contact information
Practice address
11155 S TOWNE SQ STE B2, SAINT LOUIS, MO 63123-7852
(314) 939-1103
(314) 939-1104
Mailing address
11155 S TOWNE SQ, UNIT B, SAINT LOUIS, MO 63123-7852
(314) 939-1103
(314) 939-1104
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/05/2021
Last updated
02/14/2023
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