Organization
ELITE CAREGIVERS NURSING AGENCY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEOLA E GIBSON (OWNER/PRESIDENT)
(703) 864-7034
Entity
Organization
Contact information
Practice address
10015 OLD COLUMBIA RD STE B215, COLUMBIA, MD 21046-1865
(703) 864-7034
Mailing address
10015 OLD COLUMBIA RD STE B215, COLUMBIA, MD 21046-1865
(703) 864-7034
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
10/20/2022
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