| Elite Healthcare Group Inc. | |
|
615 Coliseum Dr Winston Salem NC 27106-5310 | |
| (336) 579-3560 | |
| (336) 579-3561 |
| Full Name | Elite Healthcare Group Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 615 Coliseum Dr, Winston Salem, North Carolina |
| Authorized Official Name and Position | Andrew Dinkins (CEO) |
| Authorized Official Contact | 3369973325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Healthcare Group Inc. 615 Coliseum Dr Winston Salem NC 27106-5310 Ph: (336) 579-3560 | Elite Healthcare Group Inc. 615 Coliseum Dr Winston Salem NC 27106-5310 Ph: (336) 579-3560 |
| NPI Number | 1346759925 |
|---|---|
| Provider Enumeration Date | 09/26/2017 |
| Last Update Date | 12/15/2021 |
| Certification Date | 12/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346759925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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