Provider Demographics
NPI:1780768960
Name:ALL CARE ASSOCIATED PROVIDER INC
Entity type:Organization
Organization Name:ALL CARE ASSOCIATED PROVIDER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:O
Authorized Official - Last Name:ELLIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-372-9393
Mailing Address - Street 1:700 S TORRENCE ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-2928
Mailing Address - Country:US
Mailing Address - Phone:704-372-9393
Mailing Address - Fax:704-372-0135
Practice Address - Street 1:700 S TORRENCE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204-2928
Practice Address - Country:US
Practice Address - Phone:704-372-9393
Practice Address - Fax:704-372-0135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty