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Organization

ELITE HOMECARE SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMMANUEL RAYMOND (ADMINISTRATOR)
(657) 253-6812
Entity
Organization

Contact information

Practice address
2904 W GLASS LN, PHOENIX, AZ 85041-6362
(657) 253-6812
Mailing address
2904 W GLASS LN, PHOENIX, AZ 85041-6362
(657) 253-6812

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
12/20/2025
Last updated
12/20/2025
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