Organization
ELGREAT HEALTHCARE SERVICES LLC
Active
Other names
Elgreat Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
IFEOMA NKEMDILIM JENNIFER ELEBO FNP (ADMINISTRATOR)
(804) 528-9752
Entity
Organization
Contact information
Practice address
2301 HILLIARD RD STE 4, HENRICO, VA 23228-4525
(804) 528-9752
(804) 409-8005
Mailing address
2301 HILLIARD RD STE 4, HENRICO, VA 23228-4525
(804) 528-9752
(804) 409-8005
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
02/16/2022
Last updated
08/26/2024
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