Organization
ELEVARE HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTWANA BANKS (OWNER)
(525) 213-9212
Entity
Organization
Contact information
Practice address
1209 MOUTAIN ROAD PL NE STE N, ALBUQUERQUE, NM 87110
(525) 213-9212
Mailing address
2108 YARBROUGH DR, ANNA, TX 75409-5532
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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