Organization
ELITE CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE LOCKLAYER (CHIEF EXECUTIVE OFFICER)
(615) 593-6581
Entity
Organization
Contact information
Practice address
909 MEADOWLARK LN STE 2, GOODLETTSVILLE, TN 37072-2309
(615) 593-6581
(484) 952-4605
Mailing address
909 MEADOWLARK LN STE 2, GOODLETTSVILLE, TN 37072-2309
(615) 593-6581
(484) 952-4605
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I000000022124
DEPARTMENT OF INTELLECTUAL AND DEVELOPMENTAL DISABILITY SERVICES
TN
Enumeration date
05/01/2023
Last updated
05/01/2023
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