NPI 1790544948

Elaine Ebanks

Practitioner Adult Care Home Facility Brandon, FL

Practice location

Address: 3612 Woodhill Dr, Brandon, FL 33511-7836
Phone: (954) 708-4578

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 6907100 (FL)

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Registry record

NPI: 1790544948
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Mar 2024
Record last updated: 18 Mar 2024

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.