Organization
EXECUTIVE LEAGUE INC
Active
Other names
HomeWell Cares NC218
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARENCE MACK (PRESIDENT)
(336) 907-6163
Entity
Organization
Contact information
Practice address
1109 E WENDOVER AVE STE A, GREENSBORO, NC 27405-6778
(336) 907-6163
Mailing address
2100 E WENDOVER AVE STE B, GREENSBORO, NC 27405-6849
(336) 907-6163
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/08/2024
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