Organization
ELITE CARE GH 1 LLC
Active
Parent organization
ELITE CARE SERVICE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELITE CARE SERVICE INC
Authorized official
JAMES FREDERICK (CEO)
(732) 674-5748
Entity
Organization
Contact information
Practice address
4801 WATAUGA RD, FAYETTEVILLE, NC 28304-3227
(732) 674-5748
Mailing address
PO BOX 9525, FAYETTEVILLE, NC 28311-9088
(732) 674-5748
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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