| Elite Personal Care Group, Inc. | |
|
216 Lawton Ave Savannah GA 31404-1231 | |
| (912) 658-9125 | |
| Not Available |
| Full Name | Elite Personal Care Group, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 216 Lawton Ave, Savannah, Georgia |
| Authorized Official Name and Position | Terrance Keith Lucky (CEO) |
| Authorized Official Contact | 9127449276 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Personal Care Group, Inc. 216 Lawton Ave Savannah GA 31404-1231 Ph: (912) 744-9276 | Elite Personal Care Group, Inc. 216 Lawton Ave Savannah GA 31404-1231 Ph: (912) 658-9125 |
| NPI Number | 1891538781 |
|---|---|
| Provider Enumeration Date | 06/17/2024 |
| Last Update Date | 08/19/2024 |
| Certification Date | 08/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891538781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
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