| Elite Care Service Inc | |
|
111 Lamon St Ste 100 Fayetteville NC 28301-4917 | |
| (326) 745-6748 | |
| Not Available |
| Full Name | Elite Care Service Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 111 Lamon St Ste 100, Fayetteville, North Carolina |
| Authorized Official Name and Position | James Frederick (CEO) |
| Authorized Official Contact | 7326745748 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Care Service Inc 111 Lamon St Ste 100 Fayetteville NC 28301-4917 Ph: (326) 745-6748 | Elite Care Service Inc 111 Lamon St Ste 100 Fayetteville NC 28301-4917 Ph: (326) 745-6748 |
| NPI Number | 1699598326 |
|---|---|
| Provider Enumeration Date | 11/01/2024 |
| Last Update Date | 11/01/2024 |
| Certification Date | 10/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699598326 | NPI | - | NPPES |
| 1417135500 | Medicaid | NC |
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