Organization
ELITE PATIENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYNYSHA SHARESE HOUSTON RN (OWNER)
(305) 497-2101
Entity
Organization
Contact information
Practice address
6732 DOGWOOD DR, MIRAMAR, FL 33023-4849
(305) 497-2101
Mailing address
6732 DOGWOOD DR, MIRAMAR, FL 33023-4849
(305) 497-2101
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
05/06/2021
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