PHYSICIANS ELDERCARE PA NPI 1184866212

NPI Information

PHYSICIANS ELDERCARE, PA is an adult health nurse practitioner in Winston Salem, NC. PHYSICIANS ELDERCARE, PA NPI is 1184866212. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Pec Management Company Llc.

The provider's business location address is:

4692 BROWNSBORO RD
WINSTON SALEM, NC
ZIP 27106-410
Phone: (336) 251-1114
Fax: (336) 251-1117

The provider's authorized official is Richard Elsey .
The authorized official title is Physician/shareholder and has the following contact phone number (336) 251-1114.

The CLIA number assigned to this NPI record is 34D1078174 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/6/2009 and was last updated on 4/6/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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