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Organization

EL-ELYON CARE SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KENNETH SMITH (OWNER)
(910) 424-8370
Entity
Organization

Contact information

Practice address
5315 PARKTON RD, HOPE MILLS, NC 28348-8694
(910) 424-8370
(910) 424-1596
Mailing address
5315 PARKTON RD, HOPE MILLS, NC 28348-8694
(910) 424-8370
(910) 424-1596

Taxonomy

Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL-026-716
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6603355
NC
Enumeration date
06/29/2006
Last updated
08/22/2020
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