Organization
ELITE CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMETRICE WILSON PH.D (CEO)
(252) 814-6957
Entity
Organization
Contact information
Practice address
3836 ABBY LYNN DR, GREENVILLE, NC 27858-7315
(252) 814-6957
Mailing address
213 ARROWHEAD BLVD, SUITE H, JONESBORO, GA 30236-1168
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1093855439
NC
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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