Organization
ELITE NURSING STAFF
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HASSAN HARRIS (CEO PRESIDENT)
(919) 693-6400
Entity
Organization
Contact information
Practice address
125 OLD WAREHOUSE SQ, OXFORD, NC 27565-2953
(919) 693-6400
(919) 692-1011
Mailing address
125 OLD WAREHOUSE SQ, OXFORD, NC 27565-2953
(919) 693-6400
(919) 692-1011
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3217
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418040
—
NC
05
—
6601401
—
NC
Enumeration date
06/12/2007
Last updated
08/22/2020
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