Organization
ELITE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEMETRICE YVONNE WILSON (DIRECTOR)
(252) 792-7812
Entity
Organization
Contact information
Practice address
3836 ABBY LYNN DR, GREENVILLE, NC 27858-7315
(252) 814-6957
Mailing address
132 W MAIN ST, WILLIAMSTON, NC 27892-2472
(252) 792-7812
(252) 792-7812
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301818
—
NC
Enumeration date
02/07/2007
Last updated
11/14/2011
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