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General NPI Number Information
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NPI Number | 1578791323
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Entity Type | Organization
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Legal Business Name | ELIADA HOMES, INC.
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 06/30/2009
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Provider Practice Location Address
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Address Line | 2 COMPTON DRIVE
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City | ASHEVILLE
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State | NC
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Zip | 28806-2054
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Country | US
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Telephone | 828-254-5356
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Fax | 828-210-0231
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Provider Business Mailing Address
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Address Line | PO BOX 16708
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City | ASHEVILLE
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State | NC
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Zip | 28816-0708
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Country | US
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Telephone | 828-254-5356
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Fax | 828-210-0231
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Authorized Official
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Title or Position | CEO
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Name | MR. MARK UPRIGHT
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Credential | BA, PA
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Telephone | 828-254-5356
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number | MHL-011-203
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License Number State | NC
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