Individual
ELAINE EBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3612 WOODHILL DR, BRANDON, FL 33511-7836
(954) 708-4578
Mailing address
3612 WOODHILL DR, BRANDON, FL 33511-7836
(954) 708-4578
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6907100
FL
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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