Organization
ELITE HEALTH CARE INC
Active
Parent organization
ELITE HEALTH CARE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELITE HEALTH CARE INC
Authorized official
DR. KELVIN J. WILEY MD (PRESIDENT)
(803) 419-8700
Entity
Organization
Contact information
Practice address
4531 HARD SCRABBLE RD, COLUMBIA, SC 29229-8561
(803) 419-8700
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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