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Organization
PERSONAL ELITE HOMECARE LLC
Active
Organization
PERSONAL ELITE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL WALL (OWNER)
(704) 724-7697
Entity
Organization
Contact information
Practice address
5736 N TRYON ST STE 227B, CHARLOTTE, NC 28213-0820
(704) 970-0700
Mailing address
515 SAWYERS MILL RD APT 105, CHARLOTTE, NC 28262-1893
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/12/2019
Last updated
11/26/2019
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