Organization · NPI-2

All Care Associated Provider INC

Contractor · Charlotte, NC

NPI number1780768960
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1780768960
Entity type
Organization (NPI-2)
Legal business name
All Care Associated Provider INC
Organization subpart
No
Enumeration date
Oct 25, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171W00000X Contractor––Yes

Practice location

700 S Torrence St
Suite 101
Charlotte, NC 28204-2928

Phone 704-372-9393 · Fax 704-372-0135

Mailing address

700 S Torrence St
Suite 101
Charlotte, NC 28204-2928

Phone 704-372-9393 · Fax 704-372-0135

Authorized official

Clarence O Ellis
President
7043729393

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