Organization
ELIJAH DIXON LLC
Active
Other names
Prominent Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELIJAH DIXON JR. (CEO)
(704) 605-2405
Entity
Organization
Contact information
Practice address
816 JUSTICE AVE, CHARLOTTE, NC 28206-1859
(704) 526-0954
Mailing address
816 JUSTICE AVE, CHARLOTTE, NC 28206-1859
(704) 526-0954
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/18/2024
Last updated
01/20/2025
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