Organization
ELITE SENIOR CARE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY D HAGOOD (OWNER)
(870) 215-0323
Entity
Organization
Contact information
Practice address
2807 W KINGSHIGHWAY, PARAGOULD, AR 72450-2605
(870) 215-0323
(870) 215-0323
Mailing address
PO BOX 491, PARAGOULD, AR 72451-0491
(870) 215-0323
(870) 215-0323
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
200210
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199713752
—
AR
05
—
199726757
—
AR
05
—
199728796
—
AR
05
—
199850750
—
AR
05
—
200210765
—
AR
Enumeration date
01/13/2014
Last updated
05/10/2022
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