Organization
EC LITTLE AVENUE OPERATIONS, LLC
Active
Other names
Elmcroft of Little Avenue
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM P MULLOY II (PRESIDENT)
(502) 753-6001
Entity
Organization
Contact information
Practice address
7745 LITTLE AVE, CHARLOTTE, NC 28226-8168
(704) 541-9333
(704) 541-5358
Mailing address
9510 ORMSBY STATION RD, SUITE 101, LOUISVILLE, KY 40223-4081
(502) 753-6000
(502) 753-6100
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
HAL-060-082
NC
Other
Enumeration date
05/08/2008
Last updated
05/08/2008
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