Organization
ELITE NURSING HOME HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIE WALLS (CEO/PRESIDENT)
(972) 897-0017
Entity
Organization
Contact information
Practice address
4597 MOUNTAIN LAUREL DR, GRAND PRAIRIE, TX 75052-2903
(972) 897-0017
Mailing address
4597 MOUNTAIN LAUREL DR, GRAND PRAIRIE, TX 75052-2903
(972) 897-0017
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
TX
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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