Organization
ELITE HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DECKARD (MEMBER)
(812) 278-4373
Entity
Organization
Contact information
Practice address
157 INMAN CT, BEDFORD, IN 47421-9628
(812) 278-4373
Mailing address
PO BOX 1105, BEDFORD, IN 47421-1105
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WA2000X
Administrator Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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