| Elite Community Health, Llc | |
|
2409 E Ozark Ave Gastonia NC 28054-1421 | |
| (704) 864-9668 | |
| Not Available |
| Full Name | Elite Community Health, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2409 E Ozark Ave, Gastonia, North Carolina |
| Authorized Official Name and Position | Joshua Steele (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7046744129 |
| 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 2409 E Ozark Ave Gastonia NC 28054-1421 Ph: (704) 864-9668 |
| NPI Number | 1891955381 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 09/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891955381 | NPI | - | NPPES |
| 6006418 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C002515 (North Carolina) | Primary |
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