MEDICARE: ELENA ALL GOOD SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1922716273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELENA ALL GOOD SERVICES

Provider Business Mailing Address
First Line	:	4320 YUMA RD
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893-8839
Country	:	US
Telephone Number	:	252-360-6589
Fax Number	:

Provider Business Practice Location Address
First Line	:	4320 YUMA RD
Second Line	:
City	:	WILSON
State	:	NC
Zip	:	27893-8839
Country	:	US
Telephone Number	:	252-360-6589
Fax Number	:	252-360-6589

Authorized Official
Title or Position	:	0WNER
Name	:	ELENA MEDINA
Credential	:
Telephone Number	:	252-360-6589

Provider Enumeration Date	:	11/07/2022
Last Update Date	:	01/08/2026

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1184454043 — BROOKE RENEE LINDSAY PA-C
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Directions to “ELENA ALL GOOD SERVICES ” Practice Location

Language	Start Address	Practice Location

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