| Elite Care Inc | |
|
132 W Main St Williamston NC 27892-2472 | |
| (252) 792-7812 | |
| Not Available |
| Full Name | Elite Care Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 132 W Main St, Williamston, North Carolina |
| Authorized Official Name and Position | Demetrice Yvonne Wilson (QM/TRAINING DIRECTOR) |
| Authorized Official Contact | 2527927812 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Care Inc 3836 Abby Lynn Dr Greenville NC 27858-7315 Ph: (252) 792-7812 | Elite Care Inc 132 W Main St Williamston NC 27892-2472 Ph: (252) 792-7812 |
| NPI Number | 1992085963 |
|---|---|
| Provider Enumeration Date | 08/23/2011 |
| Last Update Date | 08/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992085963 | NPI | - | NPPES |
| 6602160 | Medicaid | NC | |
| 8301818 | Medicaid | NC | |
| 8303113 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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