# ELSUBE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Antonio Personal Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609243096
- **Authorized official:** MRS. ELODIA MAYNARD (MANAGER)
- **Authorized official phone:** (702) 463-0089

## Contact information

- **Practice address:** 417 FOXVALE AVE, NORTH LAS VEGAS, NV 89032-6150
- **Practice address phone:** (702) 463-0082
- **Practice address fax:** (702) 463-0104
- **Mailing address:** 417 FOXVALE AVE, NORTH LAS VEGAS, NV 89032-6150
- **Mailing address phone:** (702) 463-0082
- **Mailing address fax:** (702) 463-0104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | 20121700531 | NV | Yes |

## Other

- **Enumeration date:** 09/01/2015
- **Last updated:** 09/01/2015
