Organization
GREATER ELEVATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELYN LETORY BHONES BSN, RN (ADMINISTRATOR)
(832) 296-7709
Entity
Organization
Contact information
Practice address
19403 SANCTUARY PINE CT, SPRING, TX 77388-2628
(832) 661-8344
Mailing address
PO BOX 1581, SPRING, TX 77383-1581
(832) 661-8344
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
—
—
251F00000X
Home Infusion Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
01/31/2020
Last updated
02/22/2021
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