Organization
ELITE CARE PSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MASTRANGELI (OFFICER)
(630) 505-3623
Entity
Organization
Contact information
Practice address
250 W 80TH PL, MERRILLVILLE, IN 46410-5430
(219) 648-2125
(219) 472-8468
Mailing address
568 S WASHINGTON ST, NAPERVILLE, IL 60540-6843
(630) 548-9500
(630) 548-0541
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
07/08/2021
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