| Elite Professinal Services, Llc | |
|
119 E Water St Plymouth NC 27962-1300 | |
| (252) 793-9991 | |
| (252) 793-9991 |
| Full Name | Elite Professinal Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 119 E Water St, Plymouth, North Carolina |
| Authorized Official Name and Position | Devita Renae Phelps (CEO) |
| Authorized Official Contact | 2527939991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Professinal Services, Llc 119 E Water St Plymouth NC 27962-1300 Ph: (252) 793-9991 | Elite Professinal Services, Llc 119 E Water St Plymouth NC 27962-1300 Ph: (252) 793-9991 |
| NPI Number | 1962650507 |
|---|---|
| Provider Enumeration Date | 09/08/2008 |
| Last Update Date | 09/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962650507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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