Organization
ELEVATING LIVES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANDA KEICH (CEO/OWNER)
(215) 344-4778
Entity
Organization
Contact information
Practice address
238 W SPRUCE ST, TAMAQUA, PA 18252-1809
(215) 344-4778
Mailing address
PO BOX 11, TAMAQUA, PA 18252-0011
(215) 344-4778
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/14/2025
Last updated
05/27/2025
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