Organization
ELITE SENIOR CARE MANAGEMENT COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY HAGOOD (OWNER)
(870) 565-5203
Entity
Organization
Contact information
Practice address
434 WEST STATE HWY 18 BYPASS, MANILA, AR 72442
(870) 570-0340
Mailing address
434 WEST STATE HWY 18 BYPASS, MANILA, AR 72442
(870) 570-0340
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277050732
—
AR
Enumeration date
05/10/2022
Last updated
05/10/2022
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