Organization
LUCILLE'S ELITE TEAM HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCILLE NOWAKOWSKI REGISTERED NURSE (PRESIDENT)
(209) 688-5841
Entity
Organization
Contact information
Practice address
95 W 11TH ST, TRACY, CA 95376-3959
(209) 814-4015
Mailing address
95 W 11TH ST STE 205, TRACY, CA 95376-3961
(209) 814-4015
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
693652
CA
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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