# ELDER PATH INC.

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

## Provider details

- **NPI number:** 1699292367
- **Authorized official:** MS. SHERVONNE EVETTE BANKS MSG (GERONTOLOGIST)
- **Authorized official phone:** (757) 240-7928

## Contact information

- **Practice address:** 4410 E CLAIBORNE SQ. STE 334, HAMPTON, VA 22366-2200
- **Practice address phone:** (757) 251-3838
- **Practice address fax:** (757) 282-5857
- **Mailing address:** 4410 E CLAIBORNE SQ. STE 334, HAMPTON, VA 23666-2200
- **Mailing address phone:** (757) 251-3838
- **Mailing address fax:** (757) 282-5857

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 372500000X | Chore Provider | — | NULL | — |
| 372500000X | Chore Provider | — | — | — |
| 372600000X | Adult Companion | — | NULL | — |
| 372600000X | Adult Companion | — | — | — |
| 3747P1801X | Personal Care Attendant | — | NULL | — |
| 3747P1801X | Personal Care Attendant | — | — | — |

## Other

- **Enumeration date:** 08/24/2017
- **Last updated:** 08/24/2017