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Organization

ELITE CARE HEALTH GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MISTY R STEVENSON RN (CEO)
(228) 323-7695
Entity
Organization

Contact information

Practice address
839B 28TH ST, GULFPORT, MS 39501-5413
(228) 596-5911
Mailing address
839B 28TH ST, GULFPORT, MS 39501-5413
(228) 596-5911

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
251G00000X
Community Based Hospice Care Agency
251J00000X
Nursing Care Agency
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
08/18/2025
Last updated
08/18/2025
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