Organization
ELITE GENERATIONAL HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI D HENRICY RN (OWNER)
(270) 875-5353
Entity
Organization
Contact information
Practice address
14963 19TH ST N, LOXAHATCHEE, FL 33470-4804
(270) 875-5353
Mailing address
14963 19TH ST N, LOXAHATCHEE, FL 33470-4804
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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