Organization
ELDER PATH INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERVONNE EVETTE BANKS MSG (GERONTOLOGIST)
(757) 240-7928
Entity
Organization
Contact information
Practice address
4410 E CLAIBORNE SQ. STE 334, HAMPTON, VA 22366-2200
(757) 251-3838
(757) 282-5857
Mailing address
4410 E CLAIBORNE SQ. STE 334, HAMPTON, VA 23666-2200
(757) 251-3838
(757) 282-5857
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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