Provider Demographics
NPI:1518412618
Name:PRIORITY ASSISTANCE SERVICES
Entity Type:Organization
Organization Name:PRIORITY ASSISTANCE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ESPERANDIEU
Authorized Official - Middle Name:
Authorized Official - Last Name:ELBON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-672-6387
Mailing Address - Street 1:1315 LANE AVE S STE 5
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32205-6888
Mailing Address - Country:US
Mailing Address - Phone:904-672-6387
Mailing Address - Fax:
Practice Address - Street 1:1315 LANE AVE S STE 5
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32205-6888
Practice Address - Country:US
Practice Address - Phone:904-672-6387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ELBON & COMPANY, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-08-18
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL608373253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care