Provider Demographics
NPI:1609315530
Name:EL&S LLC
Entity type:Organization
Organization Name:EL&S LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:AHIEKPOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-655-4735
Mailing Address - Street 1:3523 FORT MEADE RD
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20724-2013
Mailing Address - Country:US
Mailing Address - Phone:301-655-4735
Mailing Address - Fax:
Practice Address - Street 1:3523 FORT MEADE RD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20724-2013
Practice Address - Country:US
Practice Address - Phone:301-655-4735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-12
Last Update Date:2017-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier