Provider Demographics
NPI:1629840814
Name:ELITE HEALTH SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ELITE HEALTH SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-239-4046
Mailing Address - Street 1:2284 OLD CONCORD RD SE STE E
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30082-1541
Mailing Address - Country:US
Mailing Address - Phone:678-239-4046
Mailing Address - Fax:888-388-0624
Practice Address - Street 1:2284 OLD CONCORD RD SE STE E
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30082-1541
Practice Address - Country:US
Practice Address - Phone:678-239-4046
Practice Address - Fax:888-388-0624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-23
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center