Organization
ELDERHAUS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH FINCH (EXECUTIVE DIRECTOR)
(910) 343-8209
Entity
Organization
Contact information
Practice address
2222 S 17TH ST, WILMINGTON, NC 28401-7515
(910) 343-8209
(910) 343-8836
Mailing address
2222 S 17TH ST, WILMINGTON, NC 28401-7515
(910) 343-8209
(910) 343-8836
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3408284
—
NC
Enumeration date
05/18/2007
Last updated
08/24/2022
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