Organization
ELITE CHAMPIONS ADULT DAY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DORENE OSHOWOLE (OWNER/OPERATIONS MANAGER)
(469) 693-2878
Entity
Organization
Contact information
Practice address
3106 DEERHOLLOW DR, MESQUITE, TX 75181-3664
(469) 693-2878
Mailing address
3106 DEERHOLLOW DR, MESQUITE, TX 75181-3664
(469) 693-2878
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/28/2019
Last updated
12/20/2019
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