Organization
THE ELITE CARE COMPANY I LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEYONDA L WASHINGTON (AGENCY DIRECTOR)
(941) 209-0000
Entity
Organization
Contact information
Practice address
507 ALBATROSS DR UNIT A, KISSIMMEE, FL 34759-4411
(941) 209-0000
(863) 496-5872
Mailing address
507 ALBATROSS DR UNIT A, KISSIMMEE, FL 34759-4411
(941) 209-0000
(863) 496-5872
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
Primary
—
—
374J00000X
Doula
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101487400
—
FL
Enumeration date
04/26/2019
Last updated
04/26/2019
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