Organization
ELITE PERSONAL CARE GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRANCE KEITH LUCKY II PHD.CC.MHT (CEO)
(912) 744-9276
Entity
Organization
Contact information
Practice address
216 LAWTON AVE, SAVANNAH, GA 31404-1231
(912) 658-9125
Mailing address
216 LAWTON AVE, SAVANNAH, GA 31404-1231
(912) 744-9276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
06/17/2024
Last updated
02/23/2025
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