Mcrandon Elvenstar
NPI #1982137154 in Monroe, North Carolina
Provider Information
- NPI Number
- 1982137154
- Entity Type
- Individual
- Name
- Mcrandon Elvenstar
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 5, 2017
- Last Updated
- Apr 5, 2017
Practice Location
- Address
- 204 E OLD HIGHWAY 74
- City
- Monroe
- State
- North Carolina
- ZIP Code
- 28112-8122
- Phone
- (704) 283-3066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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