Organization
ELITE CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMMIE WYNELL RICHARDSON HUGHES (CEO/OWNER)
(817) 454-0691
Entity
Organization
Contact information
Practice address
103 KILLDEER CT, SOUTHLAKE, TX 76092-5802
(817) 223-4638
(817) 488-9252
Mailing address
PO BOX 11295, FORT WORTH, TX 76110-0295
(817) 454-0691
(817) 507-3491
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
001008162
TX
Other
Enumeration date
06/12/2007
Last updated
12/13/2017
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