Organization
ELITE CARE
Active
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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