Organization
ELITE CARE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIA'SHEEMA KEYONNA SHELTON B.S. HUMANITIES (PRESIDENT)
(352) 348-3989
Entity
Organization
Contact information
Practice address
707 S LONE OAK DR, LEESBURG, FL 34748-6215
(352) 348-3989
(352) 787-0997
Mailing address
707 S LONE OAK DR, LEESBURG, FL 34748-6215
(352) 348-3989
(352) 787-0997
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/08/2016
Last updated
04/08/2016
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