Organization
ELITE CARE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LILIAN ADHIAMBO (CEO)
(747) 356-1555
Entity
Organization
Contact information
Practice address
4040 E MCDOWELL RD STE 418, PHOENIX, AZ 85008-4448
(602) 550-9492
Mailing address
4040 E MCDOWELL RD STE 418, PHOENIX, AZ 85008-4448
(602) 550-9492
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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