Organization
ELITE NDEPENDENT HOMECARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KODEESHA A KING RN,BSN (ADMINISTRATRO)
(713) 494-8902
Entity
Organization
Contact information
Practice address
1106 CLAYTON LN, SUITE #554 W, AUSTIN, TX 78723-1066
(713) 494-8902
(512) 260-2345
Mailing address
1106 CLAYTON LN, SUITE #554 W, AUSTIN, TX 78723-1066
(713) 494-8902
(512) 260-2345
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/12/2008
Last updated
02/12/2008
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