Organization
ELSUBE LLC
Active
Parent organization
ELSUBE LLC DBBA SAN ANTONIO PERSSONAL CARE
Other names
San Antonio Personal Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELSUBE LLC DBBA SAN ANTONIO PERSSONAL CARE
Authorized official
ELODIA MAYNARD (MANAGER/ADMINISTRATOR)
(702) 619-1859
Entity
Organization
Contact information
Practice address
417 FOXVALE AVE, NORTH LAS VEGAS, NV 89032-6150
(170) 261-9185
Mailing address
417 FOXVALE AVE, NORTH LAS VEGAS, NV 89032-6150
(170) 261-9185
(702) 463-0104
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053748301
—
NV
Enumeration date
02/17/2023
Last updated
02/17/2023
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