NPI | 1700583150 |
---|---|
Doing Business As | ELEVATE SUPPORT SERVICES, LLC |
Entity Type | Organization |
Authorized Contact | CRYSTAL ENGLISH Qmhp 540-519-3381 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 172V00000X Community Health Worker |
Enumeration Date | 2023-02-15 |
Last Update Date | 2023-02-15 |