Provider Demographics
NPI:1497419014
Name:EILATO CARE CONSULTING LLC
Entity Type:Organization
Organization Name:EILATO CARE CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:FELECIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:PAUL-GREY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:678-909-7531
Mailing Address - Street 1:3330 BARTLETT AVE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-7503
Mailing Address - Country:US
Mailing Address - Phone:678-909-7531
Mailing Address - Fax:470-766-1655
Practice Address - Street 1:5960 CROOKED CREEK RD
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-6219
Practice Address - Country:US
Practice Address - Phone:678-909-7531
Practice Address - Fax:470-766-1655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-29
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty