Elite Indigo
NPI #1972120954 in Terry, Mississippi
Provider Information
- NPI Number
- 1972120954
- Entity Type
- Organization
- Organization Name
- Elite Indigo
- Primary Specialty
- Home Health
- Enumeration Date
- Jun 25, 2020
- Last Updated
- Jun 25, 2020
Practice Location
- Address
- 310 SEMINOLE CIR
- City
- Terry
- State
- Mississippi
- ZIP Code
- 39170-8787
- Phone
- (432) 978-6035
Authorized Official
- Name
- MR. JAVARION TERRELL NIX, MS,LPN-IVT, DCP
- Title
- CEO/DIRECTOR
- Phone
- (432) 978-6035
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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