Organization
ELITE CARE
Active
Parent organization
ELITECARE
Other names
Elite Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELITECARE
Authorized official
WILLIAM FERNANDORUS WILLIS LCSA-A (SUBSTAMCE ABUSE)
(910) 261-0941
Entity
Organization
Contact information
Practice address
111 LAMON ST, FAYETTEVILLE, NC 28301
(910) 483-0324
Mailing address
722 SAGE ST, 722, FAYETTEVILLE, NC 28312
(910) 261-0941
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
251
NC
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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