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Organization

ELSUBE LLC

Active
Other names
San Antonio Personal Care
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ELODIA MAYNARD CNA (MANAGING PARTNER)
(702) 643-1552
Entity
Organization

Contact information

Practice address
417 FOXVALE AVE, N LAS VEGAS, NV 89032-6150
(702) 643-1552
Mailing address
417 FOXVALE AVE, N LAS VEGAS, NV 89032-6150
(702) 643-1552

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
10/02/2013
Last updated
10/02/2013
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