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NPI Code Detail

MEDICARE: NELA

MEDICARE: NELA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA0600XAdult Day Care Clinic/Center
2251B00000XCase Management Agency

General Provider Information

NPI Number : 1538456314
Entity Type Code : Organization
Provider Name (Legal Business Name) : NELA
Provider Business Mailing Address
First Line : 3011 S MEMORIAL DR
Second Line : SUITE 8
City : GREENVILLE
State : NC
Zip : 27834-6238
Country : US
Telephone Number : 252-375-5110
Fax Number : 252-215-1558
Provider Business Practice Location Address
First Line : 3011 MEMORIAL BLVD
Second Line : SUITE 8
City : GREENVILLE
State : NC
Zip : 27834-6238
Country : US
Telephone Number : 252-375-5110
Fax Number : 252-215-1558
Authorized Official
Title or Position : PRESIDENT/HUMAN RESOURCES MANAGER
Name : DANIEL MOORE JR.
Credential :
Telephone Number : 252-375-5110
Provider Enumeration Date : 06/30/2011
Last Update Date : 06/30/2011

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Directions to “NELA ” Practice Location

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