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Organization
ELLISON HOME CARE COMPANION AGENCY, INC.
Active
Organization
ELLISON HOME CARE COMPANION AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CEDRIC ELLISON (SECRETARY/TREASURER)
(631) 576-4060
Entity
Organization
Contact information
Practice address
1747 VETERANS MEMORIAL HWY, SUITE 44, ISLANDIA, NY 11749-1534
(631) 576-4060
(631) 513-4699
Mailing address
1747 VETERANS MEMORIAL HWY, SUITE 44, ISLANDIA, NY 11749-1534
(631) 576-4060
(631) 513-4699
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2254-L
NY
Other
Enumeration date
01/01/2016
Last updated
01/01/2016
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