# ELEVATE SENIORS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326425794
- **Authorized official:** WALTER SIMMONS MD (OWNER)
- **Authorized official phone:** (480) 398-5555

## Contact information

- **Practice address:** 5050 QUORUM DR STE 700, DALLAS, TX 75254-1410
- **Practice address phone:** (480) 398-5555
- **Mailing address:** 5050 QUORUM DR STE 700, DALLAS, TX 75254-1410
- **Mailing address phone:** (480) 398-5555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | — | NULL | — |
| 363LC0200X | Critical Care Medicine Nurse Practitioner | — | — | — |
| 364SC0200X | Critical Care Medicine Clinical Nurse Specialist | — | NULL | Yes |
| 364SC0200X | Critical Care Medicine Clinical Nurse Specialist | — | — | Yes |

## Other

- **Enumeration date:** 05/05/2015
- **Last updated:** 05/05/2015