NPI 1265808190

Elsube LLC

Organisation PACE Provider Organization Nort Las Vegas, NV

Practice location

Address: 4132 Solar System St., Nort Las Vegas, NV 89032-0753
Phone: (702) 619-1859
Fax: (702) 463-0104
Mailing address: 417 Foxvale Ave., North Las Vegas, NV 89032-6150

Authorised official

Name: Elodia Maynard
Title: Manager
Phone: (702) 643-1552

Registered specialties

PACE Provider Organization Primary

Agencies Taxonomy 251T00000X Licence 20121700531 (NV)

Other Program of All-Inclusive Care for the Elderly (PACE) Provider Organization providers in Nevada →

Registry record

NPI: 1265808190
Entity type: Organization
NPI issued: 14 Aug 2015
Record last updated: 14 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.