| Eldo, Inc. | |
|
1805 Castle St Wilmington NC 28403-2103 | |
| (910) 762-3118 | |
| (910) 762-3115 |
| Full Name | Eldo, Inc. |
|---|---|
| Speciality | Specialist |
| Location | 1805 Castle St, Wilmington, North Carolina |
| Authorized Official Name and Position | Yolanda Parker Randolph (DIRECTOR) |
| Authorized Official Contact | 9104529054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eldo, Inc. 1805 Castle St Wilmington NC 28403-2103 Ph: (910) 762-3118 | Eldo, Inc. 1805 Castle St Wilmington NC 28403-2103 Ph: (910) 762-3118 |
| NPI Number | 1750475547 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 02/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750475547 | NPI | - | NPPES |
| 8301089 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 174400000X | Specialist | (* (Not Available)) | Primary |
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