Organization
ELITE CARE PROVIDERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REN CHELSEA LOPEZ (MANAGER)
(909) 551-1838
Entity
Organization
Contact information
Practice address
22600 LAMBERT ST STE 1002, LAKE FOREST, CA 92630-1622
(949) 482-2882
Mailing address
21545 VINTAGE WAY, LAKE FOREST, CA 92630-5758
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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