| Elite Personal Care Inc. | |
|
814 Carl Vinson Pkwy Centerville GA 31028-1421 | |
| (478) 922-6380 | |
| Not Available |
| Full Name | Elite Personal Care Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 814 Carl Vinson Pkwy, Centerville, Georgia |
| Authorized Official Name and Position | Anica G Hollar (ADMINISTRATOR) |
| Authorized Official Contact | 4789226380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Personal Care Inc. 814 Carl Vinson Pkwy Centerville GA 31028-1421 Ph: (478) 922-6380 | Elite Personal Care Inc. 814 Carl Vinson Pkwy Centerville GA 31028-1421 Ph: (478) 922-6380 |
| NPI Number | 1932503299 |
|---|---|
| Provider Enumeration Date | 10/15/2014 |
| Last Update Date | 10/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932503299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Tripleheart Wound Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 79 Pembroke Pt, Centerville, GA 31028 Phone: 636-290-5223 Fax: 912-999-3293 |