Organization
ELITE SUPPORT CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LETICIA SANCHEZ (ADMINISTRATOR)
(786) 266-9057
Entity
Organization
Contact information
Practice address
10300 SW 72ND ST STE 182, MIAMI, FL 33173-3002
(786) 266-9057
(786) 515-9688
Mailing address
10300 SW 72ND ST STE 182, MIAMI, FL 33173-3002
(786) 266-9057
(786) 515-9688
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
376K00000X
Nurse's Aide
0499593517345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002175300
—
FL
05
—
683619196
—
FL
05
—
683629103
—
FL
05
—
683629104
—
FL
05
—
683629105
—
FL
05
—
683629198
—
FL
Enumeration date
08/24/2005
Last updated
01/03/2023
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