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Organization

ELITE DSS INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KADY JENKINS (DIRECTOR)
(330) 317-9983
Entity
Organization

Contact information

Practice address
4974 CLEVELAND RD, WOOSTER, OH 44691-1162
(330) 317-9983
Mailing address
PO BOX 15, WOOSTER, OH 44691-0015
(330) 317-9983

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0194686
OH
Enumeration date
11/17/2020
Last updated
07/29/2025
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