Organization
ELITE HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAYON HENDERSON (OWNER/CDS COORDINATOR)
(314) 400-8484
Entity
Organization
Contact information
Practice address
5536 HEBERT ST APT A, SAINT LOUIS, MO 63120-1623
(314) 400-8484
(314) 480-7177
Mailing address
5536 HEBERT ST APT A, SAINT LOUIS, MO 63120-1623
(314) 400-8484
(314) 480-7177
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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