Organization
ELATION SUPPORTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IESHA POWELL (CEO)
(314) 644-8250
Entity
Organization
Contact information
Practice address
3117 WHITING AVE, CHARLOTTE, NC 28205-1648
(314) 644-8250
Mailing address
3117 WHITING AVE, CHARLOTTE, NC 28205-1648
(314) 644-8250
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/09/2025
Last updated
06/09/2025
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