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Organization

ELITE SUPPORT CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LETICIA SANCHEZ JR. (CEO)
(786) 266-9057
Entity
Organization

Contact information

Practice address
10300 SW 72ND ST STE 182, MIAMI, FL 33173-3002
(786) 266-9057
(786) 515-9688
Mailing address
10180 SW 28TH ST, MIAMI, FL 33165-2956
(786) 266-9057
(786) 515-9688

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
0499593517345
FL
251E00000X
Home Health Agency
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
04995935517345
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1067201
R.M.A
FL
Enumeration date
01/31/2007
Last updated
01/03/2023
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