| Elite Community Health, Llc | |
|
252 Wilmot Dr Gastonia NC 28054-4047 | |
| (704) 674-4129 | |
| Not Available |
| Full Name | Elite Community Health, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 252 Wilmot Dr, Gastonia, North Carolina |
| Authorized Official Name and Position | Joshua Steele (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7048649668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Community Health, Llc 2212 Union Rd Suite 700, Pmb 507 Gastonia NC 28054-3700 Ph: (704) 864-9668 | Elite Community Health, Llc 252 Wilmot Dr Gastonia NC 28054-4047 Ph: (704) 674-4129 |
| NPI Number | 1104158369 |
|---|---|
| Provider Enumeration Date | 02/12/2010 |
| Last Update Date | 09/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104158369 | NPI | - | NPPES |
| 8300629Q | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | MHL-036-279 (North Carolina) | Primary |
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