Organization
ELITE HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GUS VAN DENDER (COO)
(888) 318-4536
Entity
Organization
Contact information
Practice address
17752 SKY PARK CIR, SUITE 220, IRVINE, CA 92614-6419
(888) 318-4536
Mailing address
17752 SKY PARK CIR, SUITE 220, IRVINE, CA 92614-6419
(888) 318-4536
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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