Organization
C.E.L.F. ELITE PRIVATE HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE JORDAN (LEAD SPECIALIST/CEO)
(478) 447-1503
Entity
Organization
Contact information
Practice address
301 RUGGED CREEK DR, STOCKBRIDGE, GA 30281-4570
(478) 447-1503
(678) 782-3469
Mailing address
301 RUGGED CREEK DR, STOCKBRIDGE, GA 30281-4570
(678) 782-3485
(678) 782-3469
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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