Healthcare Provider Details

I. General information

NPI: 1851213268
Provider Name (Legal Business Name): ELVORA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 W 4TH ST
MOUNT CARMEL PA
17851-1943
US

IV. Provider business mailing address

311 W 4TH ST
MOUNT CARMEL PA
17851-1943
US

V. Phone/Fax

Practice location:
  • Phone: 838-205-8753
  • Fax:
Mailing address:
  • Phone: 838-205-8753
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DAVID GRAHAM
Title or Position: CEO
Credential:
Phone: 838-205-8753