| Elite Care Service Inc. | |
|
111 Lamon St Ste 103 Fayetteville NC 28301-4917 | |
| (910) 483-0324 | |
| (910) 483-2246 |
| Full Name | Elite Care Service Inc. |
|---|---|
| Speciality | Psychologist - Intellectual & Developmental Disabilities |
| Location | 111 Lamon St Ste 103, Fayetteville, North Carolina |
| Authorized Official Name and Position | Barsheem Chapman (CEO) |
| Authorized Official Contact | 9104830324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Care Service Inc. Po Box 9525 Fayetteville NC 28311-9088 Ph: () - | Elite Care Service Inc. 111 Lamon St Ste 103 Fayetteville NC 28301-4917 Ph: (910) 483-0324 |
| NPI Number | 1740615434 |
|---|---|
| Provider Enumeration Date | 09/12/2013 |
| Last Update Date | 09/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740615434 | NPI | - | NPPES |
| 3418664 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Primary |
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