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NPI Code Detail

MEDICARE: ELNORA FOUNDATION INC

MEDICARE: ELNORA FOUNDATION INC
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1497580260
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELNORA FOUNDATION INC
Provider Business Mailing Address
First Line : 265 BURGESS RD # 1059
Second Line :
City : HARRISONBURG
State : VA
Zip : 22801-3718
Country : US
Telephone Number : 540-782-0575
Fax Number :
Provider Business Practice Location Address
First Line : 9101 CEDAR SPRING LN
Second Line :
City : LINVILLE
State : VA
Zip : 22834-2148
Country : US
Telephone Number : 540-782-0575
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : GAYAN TROUSSARD
Credential : MSW, LGSW, LMSW
Telephone Number : 540-782-0575
Provider Enumeration Date : 09/03/2024
Last Update Date : 09/03/2024

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Directions to “ELNORA FOUNDATION INC ” Practice Location

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