Organization
ELITES CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AWONTI T ETOO NDJONGO (CEO)
(202) 869-6291
Entity
Organization
Contact information
Practice address
6495 NEW HAMPSHIRE AVE STE A303, HYATTSVILLE, MD 20783-3245
(240) 825-3153
Mailing address
6495 NEW HAMPSHIRE AVE STE A303, HYATTSVILLE, MD 20783-3245
(240) 825-3153
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
372500000X
Chore Provider
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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