The Elitist Group

NPI #1598398497 in Rockford, Illinois

Provider Information

NPI Number: 1598398497
Entity Type: Organization
Organization Name: The Elitist Group
Subpart: Yes (part of a larger organization)
Parent Organization: THE ELITIST GROUP
Primary Specialty: Home Health Aide
Enumeration Date: Feb 19, 2020
Last Updated: Feb 19, 2020

Practice Location

Address: 2929 N MAIN STREET
City: Rockford
State: Illinois
ZIP Code: 61103
Phone: (815) 847-0647

Authorized Official

Name: MR. LARRY GULLEY JR.
Title: OWNER
Phone: (815) 847-0647

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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