Organization
ELITE HOME CARE
Active
Parent organization
NEWMAN & LONG ENTERPRISE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEWMAN & LONG ENTERPRISE, LLC
Authorized official
SHANTEL LONG (CEO)
(678) 699-4919
Entity
Organization
Contact information
Practice address
6804 BLACKSTONE PL, MABLETON, GA 30126-5441
(678) 699-4919
(678) 402-7965
Mailing address
6804 BLACKSTONE PL, MABLETON, GA 30126-5441
(678) 699-4919
(678) 402-7965
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
033013339
GA
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
033013339
GA
Other
Enumeration date
04/06/2011
Last updated
04/06/2011
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