Provider Demographics
NPI:1922716273
Name:ELENA ALL GOOD SERVICES
Entity Type:Organization
Organization Name:ELENA ALL GOOD SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:0WNER
Authorized Official - Prefix:
Authorized Official - First Name:ELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-360-6589
Mailing Address - Street 1:4320 YUMA RD
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27893-8839
Mailing Address - Country:US
Mailing Address - Phone:252-360-6589
Mailing Address - Fax:
Practice Address - Street 1:4320 YUMA RD
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-8839
Practice Address - Country:US
Practice Address - Phone:252-360-6589
Practice Address - Fax:252-360-6589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-07
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care