Organization
ELITE CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER SON BENNETT (CEO)
(704) 982-4068
Entity
Organization
Contact information
Practice address
42424 MOSS LANE, NEW LONDON, NC 28127
(704) 982-4068
Mailing address
2000 W MAIN ST STE D, ALBEMARLE, NC 28001-5446
(704) 982-4068
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-084-075
NC
Other
Enumeration date
07/22/2013
Last updated
07/22/2013
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