Provider Demographics
NPI:1760249155
Name:ELBOK HOME HEALTHCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:ELBOK HOME HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MENYAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-244-8120
Mailing Address - Street 1:17290 RIVER RIDGE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-5169
Mailing Address - Country:US
Mailing Address - Phone:703-244-8120
Mailing Address - Fax:
Practice Address - Street 1:17290 RIVER RIDGE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-5169
Practice Address - Country:US
Practice Address - Phone:703-244-8120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-01
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care