Organization
ELITE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JALISA R GREER SLP (ADMINISTRATOR)
(662) 336-1504
Entity
Organization
Contact information
Practice address
140 FIORANELLI DR, GREENVILLE, MS 38701-7313
(662) 336-1504
Mailing address
140 FIORANELLI DR, GREENVILLE, MS 38701-7313
(662) 336-1504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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