Individual
LARISSA E ELAD I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5220 N HONEYLOCUST CIR, BEL AIRE, KS 67226-9701
(316) 282-4819
Mailing address
5220 N HONEYLOCUST CIR, BEL AIRE, KS 67226-9701
(316) 282-4819
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
B087306
KS
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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