| Peter-elst Llc | |
|
3700 Lyckan Pkwy Ste A Durham NC 27707-2587 | |
| (919) 401-6655 | |
| Not Available |
| Full Name | Peter-elst Llc |
|---|---|
| Speciality | In Home Supportive Care |
| Location | 3700 Lyckan Pkwy Ste A, Durham, North Carolina |
| Authorized Official Name and Position | Olayide Olaniyan (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9194016655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter-elst Llc 3700 Lyckan Pkwy Ste A Durham NC 27707-2587 Ph: (919) 401-6655 | Peter-elst Llc 3700 Lyckan Pkwy Ste A Durham NC 27707-2587 Ph: (919) 401-6655 |
| NPI Number | 1780917294 |
|---|---|
| Provider Enumeration Date | 09/15/2009 |
| Last Update Date | 03/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780917294 | NPI | - | NPPES |
| 3418993 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 253Z00000X | In Home Supportive Care | (* (Not Available)) | Primary |
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