Provider Demographics
NPI:1396040192
Name:ELDER CARE PLLC
Entity Type:Organization
Organization Name:ELDER CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:270-314-3668
Mailing Address - Street 1:1731 WINDING WAY
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-1528
Mailing Address - Country:US
Mailing Address - Phone:270-314-3668
Mailing Address - Fax:270-228-4541
Practice Address - Street 1:1731 WINDING WAY
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-1528
Practice Address - Country:US
Practice Address - Phone:270-314-3668
Practice Address - Fax:270-228-4541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-26
Last Update Date:2011-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty