# ELLSWORTH HEALTHCARE STAFFING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093292021
- **Authorized official:** TERRI LAWSON-ADAMS (CEO/DIRECTOR)
- **Authorized official phone:** (404) 806-8164

## Contact information

- **Practice address:** 160 CLAIREMONT AVE STE 200, DECATUR, GA 30030-2546
- **Practice address phone:** (404) 806-8164
- **Practice address fax:** (404) 369-0404
- **Mailing address:** 160 CLAIREMONT AVE STE 200, DECATUR, GA 30030-2546
- **Mailing address phone:** (404) 806-8164
- **Mailing address fax:** (404) 369-0404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | 044-R-1972 | GA | — |
| 253Z00000X | In Home Supportive Care Agency | 044-R-1972 | GA | Yes |

## Other

- **Enumeration date:** 07/23/2018
- **Last updated:** 07/23/2018