Organization
ELITE HEALTHCARE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA D TAYLOR (CREDENTIALING COORDINATOR)
(304) 399-4405
Entity
Organization
Contact information
Practice address
1004 WESTWOOD DR, LANESVILLE, IN 47136-0016
(606) 776-6309
Mailing address
PO BOX 4100, BARBOURSVILLE, WV 25504-4100
(304) 955-6200
(304) 399-2526
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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